Tiffany Agosto
Physician Assistant in Cleveland, OH. Individual provider (NPI-1).
NPI number1255717955
StatusActive
Last updated in NPPESAug 7, 2015
Details
- NPI
- 1255717955
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Agosto
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2015
- Last updated
- Aug 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Other names
- Tifany Agosto (Former Name)
Practice location
9500 Euclid AveCleveland, OH 44195-0001
Phone 216-445-0793
Mailing address
9500 Euclid AveCleveland, OH 44195-0001
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