Healthcare Provider Details
I. General information
NPI: 1730164740
Provider Name (Legal Business Name): ANTHONY F DIMARCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/13/2005
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PO BOX 391152
SOLON OH
44139-8152
US
IV. Provider business mailing address
PO BOX 391152
SOLON OH
44139-8152
US
V. Phone/Fax
- Phone: 440-463-9675
- Fax: 440-286-9594
- Phone: 440-463-9675
- Fax: 440-286-9594
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 35040889 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: