Dermatology Centre Of Northeast Ohio, Llc

NPI 1063565513 - Specialist - 174400000X

NPI Details
NPI 1063565513
Enumeration Date 01/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRI L TERRI
Position PRACTICE MANAGER
Phone (330) 758-8866
Fax (330) 758-4051
Practice Location
960 WINDHAM CT
SUITE 2
YOUNGSTOWN OH, 44512, US
Phone (330) 758-8866
Fax (330) 758-4051
Business Location
960 WINDHAM CT
SUITE 2
YOUNGSTOWN OH, 44512, US
Phone (330) 758-8866
Fax (330) 758-4051
Toxanomy
Taxonomy Code 174400000X
License State Ohio
License Number 35059099
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According to our database, Dermatology Centre Of Northeast Ohio, Llc NPI is 1063565513, taxonomy code is 174400000X and license number is 35059099, license state is located at Ohio. Dermatology Centre Of Northeast Ohio, Llc physically located at 960 Windham Ct, Youngstown OH, 44512. NPI Number 1033115704 has the healthcare provider type.

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1063565513 NPI number is provided on an as is basis without warranty of any kind. 1063565513 is maintained by the National Plan & Provider Enumeration System. The contents of Dermatology Centre Of Northeast Ohio, Llc are for informational purposes only.