Michael Robert Pascolini
Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery
8423 Market St Ste 205
Boardman
, Ohio 44512-6778
Michael Robert Pascolini
Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery
8423 Market St Ste 205
Boardman
, Ohio 44512-6778
(330) 729-1861
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About
Features
Specialties
- Facial Plastic Surgeon
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Michael Robert Pascolini
- 8423 Market St Ste 205
- Boardman, OH
- Zip : 44512-6778
- Fax : (330) 729-1861
- Phone : (330) 729-1934
Second Address
- Michael Robert Pascolini
- 8423 Market St Ste 205
- Boardman, OH
- Zip : 44512-6778
- Fax : (330) 729-1861
- Phone : (330) 729-1934
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 34010076 | OH |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS014037 | PA |
National Provider Identifier
| NPI | 1073772422 |
|---|---|
| Provider Name | Michael Robert Pascolini |
| First Address | Boardman, OH 44512-6778 |
| Second Address | Boardman, OH 44512-6778 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2008 |
| Last Update Date | 29/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3121160 | (05) | OH |
| H052140 | MEDICARE PTAN (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.