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General NPI Number Information
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NPI Number | 1669543906
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Entity Type | Individual
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Provider Name | JOSEPH P SITARIK DO
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 16844 SAINT CLAIR AVE
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-4277
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Country | US
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Telephone | 330-386-6800
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Fax | 330-386-4219
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Provider Business Mailing Address
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Address Line | PO BOX 2774
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-0774
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Country | US
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Telephone | 330-386-6800
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Fax | 330-386-4219
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 34004441
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License Number State | OH
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