Matthew A Passalacqua
Nuclear Medicine Specialist
11100 Euclid Avenue
Cleveland
, Ohio 44106
Matthew A Passalacqua
Nuclear Medicine Specialist
11100 Euclid Avenue
Cleveland
, Ohio 44106
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Matthew A Passalacqua
- 24701 Euclid Ave 3rd Floor
- Euclid, OH
- Zip : 44117-1714
- Phone :
Second Address
- Matthew A Passalacqua
- 11100 Euclid Avenue
- Cleveland, OH
- Zip : 44106
- Phone : (216) 844-1700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 34005244 | OH |
National Provider Identifier
| NPI | 1639152457 |
|---|---|
| Provider Name | Matthew A Passalacqua |
| First Address | Euclid, OH 44117-1714 |
| Second Address | Cleveland, OH 44106 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/11/2005 |
| Last Update Date | 30/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000364066 | ANTHEM ID (01) | OH |
| 000000550367 | ANTHEM (01) | OH |
| 0304914 | BCMH (01) | OH |
| 0924398 | (05) | OH |
| 421816 | WELLCARE (01) | OH |
| 5261551 | AETNA (01) | OH |
| 733909 | BUCKEYE (01) | OH |
| F59363 | (02) | OH |
| P00224514 | RAILROAD MEDICARE (01) | OH |
| P00454367 | RAILROAD MEDICARE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.