NPI | 1942472139 |
---|---|
Former Legal Business Name | ROBERT J. SHELLITO, DPM, LLC |
Entity Type | Organization |
Authorized Contact | ROBERT JUDE SHELLITO President/Podiatrist 330-534-4438 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36003129) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC005955) |
Enumeration Date | 2008-03-27 |
Last Update Date | 2012-11-21 |