Individual
PAUL ANTHONY STAGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
18101 LORAIN AVE, DEPT. OF PATHOLOGY, CLEVELAND, OH 44111-5612
(216) 476-7108
(216) 476-7109
Mailing address
18101 LORAIN AVE, DEPT. OF PATHOLOGY, CLEVELAND, OH 44111-5612
(216) 476-7108
(216) 476-7109
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35052030
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024197
ANTHEM BC/BS
OH
01
—
0752378
BCMH
OH
01
—
1100290
UNITED HEALTH CARE
OH
01
—
1316
UNITED MINE WORKERS
OH
01
—
340714618011
MEDICAL MUTUAL OHIO
OH
01
—
340714618144
CARESOURCE
OH
01
—
5954238
AETHNA US HEALTHCARE
OH
Enumeration date
10/18/2006
Last updated
07/09/2007
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