Provider Demographics
NPI:1992246862
Name:CALO, ANNAMARIE CATHERINE
Entity type:Individual
Prefix:
First Name:ANNAMARIE
Middle Name:CATHERINE
Last Name:CALO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 STATE ST STE B
Mailing Address - Street 2:
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:44471-1981
Mailing Address - Country:US
Mailing Address - Phone:330-729-1950
Mailing Address - Fax:330-729-1951
Practice Address - Street 1:53 STATE ST STE B
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1981
Practice Address - Country:US
Practice Address - Phone:330-729-1950
Practice Address - Fax:330-729-1951
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.014306207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine