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 | 2023-03-07 |