Individual
ANTHONY M. PASSALAQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4161 BRIDGEWATER PKWY, STOW, OH 44224-6191
(330) 920-3770
(330) 920-9770
Mailing address
38 WARRENSBURG CIR, HUDSON, OH 44236-3139
(330) 920-3770
(330) 920-9770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46430
OH
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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