NPI 1053917005
Anthony Passalacqua
Practice location
- Address
- 2789 Mathers Way, Twinsburg, OH 44087-2625
- Phone
- (216) 548-7997
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1053917005
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Dec 2020
- Record last updated
- 7 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.