Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35-065165 | OH |
NPI | 1003956996 |
---|---|
Provider Name | James W Catalano |
First Address | Canton, OH 44718-2545 |
Second Address | Mansfield, OH 44903-2269 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
939346 | (05) | OH |
F71546 | (02) |