| Boardman Gastroenterology Group, Inc. | |
|
1220 Boardman Canfield Rd Youngstown OH 44512-4003 | |
| (330) 726-0131 | |
| (330) 726-2571 |
| Full Name | Boardman Gastroenterology Group, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1220 Boardman Canfield Rd, Youngstown, Ohio |
| Authorized Official Name and Position | Denise Irwin (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 3303997215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boardman Gastroenterology Group, Inc. 1622 E Market St Warren OH 44483-6613 Ph: (330) 399-7215 | Boardman Gastroenterology Group, Inc. 1220 Boardman Canfield Rd Youngstown OH 44512-4003 Ph: (330) 726-0131 |
| NPI Number | 1881964930 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 01/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881964930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 2068614 (Ohio) | Primary |
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