| NPI | 1639235351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE A. BUCCILLI President 330-687-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003352) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2025-08-15 |