| Walter J Passarello, Do Llc | |
|
8064 South Ave Boardman OH 44512-6153 | |
| (330) 757-7888 | |
| (330) 757-4912 |
| Full Name | Walter J Passarello, Do Llc |
|---|---|
| Speciality | General Practice |
| Location | 8064 South Ave, Boardman, Ohio |
| Authorized Official Name and Position | Walter J Passarello (OWNER) |
| Authorized Official Contact | 3307577888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter J Passarello, Do Llc 3584 Timberbrooke Trl Poland OH 44514-5321 Ph: (330) 757-7888 | Walter J Passarello, Do Llc 8064 South Ave Boardman OH 44512-6153 Ph: (330) 757-7888 |
| NPI Number | 1669687760 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669687760 | NPI | - | NPPES |
| 2101120 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 34006450 (Ohio) | Primary |
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