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152 North Broadway, Suite 100, New Philadelphia, OH 44663 | |
| (330) 364-8884 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 152 North Broadway, New Philadelphia, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053591271 | NPI | - | NPPES |
| CL5308 | Other | OH | RAILROAD MEDICARE |
| 0624793 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 36002348M (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
152 North Broadway, Suite 100, New Philadelphia, OH 44663 Ph: (330) 364-8884 | 152 North Broadway, Suite 100, New Philadelphia, OH 44663 Ph: (330) 364-8884 |
Dr. Morteza Mirhaidari, DPM, MD Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 152 N Broadway St, Suite 100, New Philadelphia, OH 44663 Phone: 330-364-8884 Fax: 330-440-7038 |