| NPI | 1306990361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK AMBROSE Doctor 330-533-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-00-2786-A) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-01-04 |