Thomas Nicholas Detesco M.D.

NPI 1013911403 - Internal Medicine - 207R00000X

NPI Details
NPI 1013911403
Gender Male
Enumeration Date 06/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
7341 EISENHOWER DR
BOARDMAN OH, 44512-5900, US
Phone (330) 726-1138
Fax (330) 726-6128
Business Location
7341 EISENHOWER DR
BOARDMAN OH, 44512-5900, US
Phone (330) 726-1138
Fax (330) 726-6128
Toxanomy
Taxonomy Code 207R00000X
License State Ohio
License Number 35100173D
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According to our database, Dr. Thomas Nicholas Detesco M.D. NPI is 1013911403, taxonomy code is 207R00000X and license number is 35100173D, license state is located at Ohio. Thomas Nicholas Detesco M.D. physically located at 7341 Eisenhower Dr, Boardman OH, 44512-5900. NPI Number Thomas Nicholas Detesco M.D. has the Individual type.

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1013911403 NPI number is provided on an as is basis without warranty of any kind. 1013911403 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Nicholas Detesco M.D. are for informational purposes only.