Individual
JOHN JOSEPH SANITATO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 PEARL RD STE 100, CLEVELAND, OH 44130-3640
(216) 844-2400
(216) 292-1001
Mailing address
6900 PEARL RD STE 100, CLEVELAND, OH 44130-3640
(216) 844-2400
(216) 292-1001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-075148
OH
2084P0805X
Geriatric Psychiatry Physician
35-075148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532988
ANTHEM
OH
05
—
2316505
—
OH
01
—
260050789
RAILROAD MEDICARE
OH
01
—
4007873
AETNA
OH
Enumeration date
07/20/2006
Last updated
02/04/2021
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