Individual
DAVID BUZZACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7525 CALIFORNIA AVE, BOARDMAN, OH 44512-5623
(330) 758-1954
Mailing address
PO BOX 14806, COLUMBUS, OH 43214-0806
(614) 261-3724
(614) 447-9593
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN229076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139902
ANTHEM
—
05
—
0535175
—
OH
01
—
430052129
MEDICARE RAILROAD
—
Enumeration date
07/10/2006
Last updated
07/08/2007
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