Holly J Maggiano Md Inc | |
983 Niles Cortland Rd Se Warren OH 44484-2555 | |
(330) 856-5003 | |
(330) 856-9224 |
Full Name | Holly J Maggiano Md Inc |
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Speciality | Psychiatry & Neurology |
Location | 983 Niles Cortland Rd Se, Warren, Ohio |
Authorized Official Name and Position | Holly J Maggiano (MD) |
Authorized Official Contact | 3308565003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Holly J Maggiano Md Inc 983 Niles Cortland Rd Se Warren OH 44484-2555 Ph: (330) 856-5003 | Holly J Maggiano Md Inc 983 Niles Cortland Rd Se Warren OH 44484-2555 Ph: (330) 856-5003 |
NPI Number | 1760782239 |
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Provider Enumeration Date | 10/29/2010 |
Last Update Date | 10/29/2010 |
Medicare PECOS PAC ID | 7012104250 |
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Medicare Enrollment ID | O20101214000312 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760782239 | NPI | - | NPPES |
0981737 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 35065705 (Ohio) | Primary |
Provider Name | Holly J. Maggiano |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1104898493 PECOS PAC ID: 0042407264 Enrollment ID: I20101214000135 |
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