WALTER J PASSARELLO DO LLC NPI 1669687760

NPI Information

NPI: 1669687760
Provider Name: WALTER J PASSARELLO, DO LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
8064 SOUTH AVE
BOARDMAN, OH
ZIP 44512
Phone: (330) 757-7888
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WALTER J PASSARELLO, DO LLC is a general practice in Boardman, OH. WALTER J PASSARELLO, DO LLC NPI is 1669687760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8064 SOUTH AVE
BOARDMAN, OH
ZIP 44512-153
Phone: (330) 757-7888
Fax: (330) 757-4912

The provider's authorized official is Walter J Passarello .
The authorized official title is Owner and has the following contact phone number (330) 757-7888.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		34006450	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2101120	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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