Provider Demographics
NPI:1942696547
Name:BITONTE, AMELIA HYLAND (DO)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:HYLAND
Last Name:BITONTE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:HYLAND
Other - Last Name:BOBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:55 ARCH ST
Mailing Address - Street 2:STE 1B
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1423
Mailing Address - Country:US
Mailing Address - Phone:330-375-3315
Mailing Address - Fax:330-375-7779
Practice Address - Street 1:55 ARCH ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304
Practice Address - Country:US
Practice Address - Phone:330-375-3315
Practice Address - Fax:330-375-7779
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH34.013490207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH58.007021OtherTRAINING CERTIFICATE NUMBER