| NPI | 1619910486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY COLETTI Administrator 330-334-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-04-18 |