Provider Demographics
NPI:1356332381
Name:BITONTE, DAVID ALAN (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:BITONTE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:177 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1738
Mailing Address - Country:US
Mailing Address - Phone:330-375-2363
Mailing Address - Fax:330-375-2486
Practice Address - Street 1:177 S BROADWAY ST
Practice Address - Street 2:AKRON HEALTH DEPARTMENT ROOM 141
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1738
Practice Address - Country:US
Practice Address - Phone:330-375-2363
Practice Address - Fax:330-375-2486
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3167207L00000X
OHOH - 31672083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA82852Medicare UPIN