Individual
FORTUNATO R MACATOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 374-1499
(740) 374-1766
Mailing address
PO BOX 23, MARIETTA, OH 45750
(740) 374-8790
(740) 374-1766
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
15831
WV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35035999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102187000
—
WV
05
—
0524561
—
OH
Enumeration date
12/15/2006
Last updated
02/28/2012
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