| NPI | 1154707818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE DIDOMENICO Managiing Pa RN Ter 330-629-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |