| NPI | 1760577787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA R. RICCIARDULLI Office Manager 330-629-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 50088404) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-11-13 |