Individual
ANTHONY WAYNE CITRARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 441-0200
(234) 217-8941
Mailing address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 441-0200
(234) 217-8941
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M0000X
—
OH
Enumeration date
08/09/2019
Last updated
08/09/2019
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