Individual
ROBERT FORMOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A., BC-HIS
Contact information
Practice address
3443 MEDINA RD, SUITE 101A, MEDINA, OH 44256-5360
(330) 722-3900
Mailing address
3443 MEDINA RD, SUITE 101A, MEDINA, OH 44256-5360
(330) 722-3900
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2864
OH
Other
Enumeration date
08/15/2011
Last updated
10/08/2013
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