NPI | 1164943395 |
---|---|
Other Name | PHILLIP MALVASI D.O.L L C |
Entity Type | Organization |
Authorized Contact | PHILLIP MALVASI DO LLC Sole Member 330-544-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-06-28 |
Last Update Date | 2022-07-21 |