Healthcare Provider Details

I. General information

NPI: 1659445690
Provider Name (Legal Business Name): JAMES PATRICK BRESSI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALLEN RD SUITE 300
STOW OH
44224-1032
US

IV. Provider business mailing address

4302 ALLEN RD SUITE 300
STOW OH
44224-1032
US

V. Phone/Fax

Practice location:
  • Phone: 330-945-9551
  • Fax: 330-945-9920
Mailing address:
  • Phone: 330-945-9551
  • Fax: 330-945-9920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number34004592B
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: