| NPI | 1336220003 |
|---|---|
| Other Name | MAIN MEDICAL FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MARC S UCCHINO Partner 330-482-9203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-03-24 |