| Northeastern Ohio Infectious Disease Association, Inc. | |
|
540 Parmalee Ave Suite # 610 Youngstown OH 44510-1716 | |
| (330) 744-4369 | |
| (330) 744-1728 |
| Full Name | Northeastern Ohio Infectious Disease Association, Inc. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 540 Parmalee Ave, Youngstown, Ohio |
| Authorized Official Name and Position | Anthony F Cutrona (CEO) |
| Authorized Official Contact | 3307444369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Ohio Infectious Disease Association, Inc. Po Box 2163 Youngstown OH 44504-0163 Ph: (330) 744-4369 | Northeastern Ohio Infectious Disease Association, Inc. 540 Parmalee Ave Suite # 610 Youngstown OH 44510-1716 Ph: (330) 744-4369 |
| NPI Number | 1083012975 |
|---|---|
| Provider Enumeration Date | 12/09/2014 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083012975 | NPI | - | NPPES |
| 0981817 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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