| NPI | 1083864672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MARIA MATTY Owner Practitioner 330-745-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 037175) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |