| Newbury Family Practice Inc | |
|
10780 Kinsman Rd Newbury OH 44065-9792 | |
| (440) 564-5656 | |
| (440) 564-5719 |
| Full Name | Newbury Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10780 Kinsman Rd, Newbury, Ohio |
| Authorized Official Name and Position | Steven M Takacs (PRESIDENT) |
| Authorized Official Contact | 4405645656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newbury Family Practice Inc 10780 Kinsman Rd Po Box 537 Newbury OH 44065-9792 Ph: (440) 564-5656 | Newbury Family Practice Inc 10780 Kinsman Rd Newbury OH 44065-9792 Ph: (440) 564-5656 |
| NPI Number | 1033171095 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 01/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033171095 | NPI | - | NPPES |
| 0712689 2090759 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Newbury Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11110 Kinsman Rd # 2, Newbury, OH 44065 Phone: 440-564-6666 Fax: 440-564-6665 |