Individual
ANTHONY GIBALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7350 INDUSTRIAL PARK BLVD, MENTOR, OH 44060-5318
(216) 732-9480
(440) 942-8431
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP07009
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2444260
—
OH
Enumeration date
09/01/2006
Last updated
05/05/2014
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