NPI | 1528568326 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN A CARLETTI VP Of Operations 330-727-3530 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208M00000X Hospitalist | |
363AM0700X Physician Assistant, Medical | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2018-02-19 |
Last Update Date | 2023-08-22 |