Individual
JASON RICHARD DELATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 744-2118
(330) 747-6843
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 744-2118
(330) 747-6843
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35.082322
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028546510001
—
PA
05
—
2414211
—
OH
01
—
4108072
MEDICARE PTAN
OH
Enumeration date
03/01/2006
Last updated
10/30/2024
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