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Individual

ANTHONY J PIPITONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
15900 SNOW RD, BROOKPARK, OH 44142-2859
(216) 925-0608
Mailing address
7453 LASCALA DR, HUDSON, OH 44236-1846
(330) 650-2785

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
34-002990
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000026967
ANTHEM PROVIDER NUMBER
OH
05
0639894
OH
Enumeration date
08/11/2006
Last updated
01/14/2021
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