Individual
JAMES CARROCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6115 EMERALD ST, N RIDGEVILLE, OH 44039-2047
(440) 327-7372
(440) 327-0629
Mailing address
PO BOX 636463, CINCINNATI, OH 45263-6643
(440) 989-3801
(440) 960-0264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34006258
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262915
—
OH
05
—
3025372
—
OH
Enumeration date
05/07/2007
Last updated
12/17/2020
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