| NPI | 1376161406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY T PIPINO Manager 330-932-2732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease | |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2021-07-28 |