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3333 Massillon Rd Ste 102 Akron OH 44312-5982 | |
(330) 896-3036 | |
(330) 896-0464 |
Full Name | |
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Speciality | Family Medicine |
Location | 3333 Massillon Rd Ste 102, Akron, Ohio |
Authorized Official Name and Position | Ivan Santoso (MEDICAL DIRECTOR/PRESIDENT) |
Authorized Official Contact | 3308963036 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3333 Massillon Rd Ste 102 Akron OH 44312-5982 Ph: (330) 896-3036 | 3333 Massillon Rd Ste 102 Akron OH 44312-5982 Ph: (330) 896-3036 |
NPI Number | 1447363718 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1447363718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Ohio) | Primary |
Axesspointe Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 527 W Market St, Akron, OH 44303 Phone: 888-975-9188 | |
Concentra Akron L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Firestone Parkway, Suite F, Akron, OH 44301 Phone: 330-724-3345 Fax: 330-724-5299 | |