| Theodore A Buccilli Jr Dpm | |
|
116 East Ave, Tallmadge, OH 44278-2328 | |
| (330) 633-3445 | |
| (330) 633-6028 |
| Full Name | Theodore A Buccilli Jr Dpm |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 116 East Ave, Tallmadge, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528024619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 36003352 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore A Buccilli Jr Dpm 116 East Ave, Tallmadge, OH 44278-2328 Ph: (330) 633-3445 | Theodore A Buccilli Jr Dpm 116 East Ave, Tallmadge, OH 44278-2328 Ph: (330) 633-3445 |
Jason Kelty, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 116 East Ave, Suite 4, Tallmadge, OH 44278 Phone: 216-245-1290 Fax: 866-571-4884 | |
Podiatry Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 20 South Ave, Tallmadge, OH 44278 Phone: 216-245-1290 Fax: 866-571-4884 | |
Dr. Richard D Sparrow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 116 East Ave, Ste 4, Tallmadge, OH 44278 Phone: 330-310-6938 Fax: 330-633-6028 | |
David K Elliott, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 20 South Ave, Tallmadge, OH 44278 Phone: 330-630-9030 Fax: 330-630-3554 | |
Richard D Sparrow Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 116 East Ave, Ste 4, Tallmadge, OH 44278 Phone: 330-310-6938 |