| Mioara Tudosie, Md, Llc | |
|
2600 Tuscarawas St W Suite 640 Canton OH 44708-4644 | |
| (330) 455-1511 | |
| (330) 455-5028 |
| Full Name | Mioara Tudosie, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 Tuscarawas St W, Canton, Ohio |
| Authorized Official Name and Position | Mioara Tudosie (OWNER/PRESIDENT) |
| Authorized Official Contact | 3304551511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mioara Tudosie, Md, Llc 4347 Portage St Nw Ste 102 North Canton OH 44720-7371 Ph: (800) 527-0336 | Mioara Tudosie, Md, Llc 2600 Tuscarawas St W Suite 640 Canton OH 44708-4644 Ph: (330) 455-1511 |
| NPI Number | 1649645300 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 04/01/2020 |
| Medicare PECOS PAC ID | 7517268089 |
|---|---|
| Medicare Enrollment ID | O20151229001685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649645300 | NPI | - | NPPES |
| 0152782 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mioara Tudosie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336255884 PECOS PAC ID: 1759423619 Enrollment ID: I20100115000373 |
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