SHAJU SHAMSUDDIN

WARREN, OH
NPI1982696878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: OH  35.069956)
Additional Taxonomies2085R0001X 
(Licence: PA  MD062322L)
Enumeration Date2005-08-17
Last Update Date2017-01-01
Business Address
Dr. SHAJU SHAMSUDDIN MD
667 EASTLAND AVE SE
WARREN, OH 44484-4503
Phone number: 330-841-4126
Mailing Address
Dr. SHAJU SHAMSUDDIN MD
667 EASTLAND AVE SE
WARREN, OH 44484-4503
Phone number: 330-841-4126
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