M. Tereletsky, D.o., Llc | |
830 S Main St Orrville OH 44667-2291 | |
(330) 684-1300 | |
Not Available |
Full Name | M. Tereletsky, D.o., Llc |
---|---|
Speciality | Internal Medicine |
Location | 830 S Main St, Orrville, Ohio |
Authorized Official Name and Position | Mark J Tereletsky (OWNER) |
Authorized Official Contact | 3306841300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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M. Tereletsky, D.o., Llc Po Box 126 Cuyahoga Falls OH 44222-0126 Ph: () - | M. Tereletsky, D.o., Llc 830 S Main St Orrville OH 44667-2291 Ph: (330) 684-1300 |
NPI Number | 1831205582 |
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Provider Enumeration Date | 08/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831205582 | NPI | - | NPPES |
0686057 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 34 004475 (Ohio) | Primary |
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