Individual
JOSEPH P SITARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16844 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-4277
(330) 386-6800
(330) 386-4219
Mailing address
PO BOX 2774, EAST LIVERPOOL, OH 43920-0774
(330) 386-6800
(330) 386-4219
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34004441
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000113604
ANTHEM
OH
05
—
0125021000
—
WV
05
—
0764776
—
OH
Enumeration date
11/10/2006
Last updated
02/05/2020
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