Individual
MR. ANTHONY PETER DEMETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2935 LINCOLN WAY NW, MASSILLON, OH 44647-5203
(330) 236-2300
Mailing address
6012 ACKLEY RD, PARMA, OH 44129-4602
(330) 904-8334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007315RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2020
Last updated
11/03/2021
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