THEODORE A BUCCILLI

RAVENNA, OH
NPI1164413019
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: OH  36003352)
Enumeration Date2005-10-31
Last Update Date2019-03-01
Business Address
Dr. THEODORE A BUCCILLI DPM
4403 CLOVER DR
RAVENNA, OH 44266-8636
Phone number: 330-687-7464
Mailing Address
Dr. THEODORE A BUCCILLI DPM
25 S MAIN ST STE 7
MUNROE FALLS, OH 44262-1660
Phone number: 234-706-2395