Anthony David Passerallo

NPI #1396170940 in Painesville, Ohio

Provider Information

NPI Number: 1396170940
Entity Type: Individual
Name: Anthony David Passerallo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 13, 2013
Last Updated: Sep 13, 2013

Practice Location

Address: 7590 AUBURN RD
City: Painesville
State: Ohio
ZIP Code: 44077-9176
Phone: (440) 357-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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