Individual
ANTHONY ROBERT CASACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 SAHARA TRL, POLAND, OH 44514-3687
(330) 729-8977
(330) 729-8959
Mailing address
905 SAHARA TRL, POLAND, OH 44514-3687
(330) 729-8977
(330) 729-8959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.130068
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35.130068
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35.130068
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236867
—
OH
Enumeration date
03/30/2015
Last updated
12/16/2021
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