| NPI | 1295989002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO A. MALACAMAN Medical Director 330-493-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35034195) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2025-08-05 |