Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 15620 | OH |
Y | 213EG0000X | General Practice | 15620 | OH |
NPI | 1003933961 |
---|---|
Provider Name | Dr. Angelo Nasca |
First Address | Akron, OH 44312-4703 |
Second Address | Akron, OH 44312-4703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2007 |
Last Update Date | 08/07/2007 |