Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY PASSALACQUA
Active Sole ProprietorANTHONY PASSALACQUA is a Emotionally Disturbed Children Residential Treatment healthcare provider located in TWINSBURG, Ohio. NPI 1053917005 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · TWINSBURG, OH
Registration Details
- NPI Number
- 1053917005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2020 (5.732716069641 yrs)
- Last Updated
- Dec 7, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
2789 MATHERS WAYTWINSBURG, OH, 440872625Browse OH providers · Browse ZIP 44087
- Phone
- 2165487997
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.