Premier Specialists In Infectious Disease, Llc | |
4316 Dressler Rd Nw Canton OH 44718-2752 | |
(216) 849-0766 | |
Not Available |
Full Name | Premier Specialists In Infectious Disease, Llc |
---|---|
Speciality | Internal Medicine |
Location | 4316 Dressler Rd Nw, Canton, Ohio |
Authorized Official Name and Position | Badie Al Nemr (OWNER) |
Authorized Official Contact | 2168490766 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Premier Specialists In Infectious Disease, Llc Po Box 80690 Canton OH 44708-0690 Ph: (330) 479-8705 | Premier Specialists In Infectious Disease, Llc 4316 Dressler Rd Nw Canton OH 44718-2752 Ph: (216) 849-0766 |
NPI Number | 1316339104 |
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Provider Enumeration Date | 03/03/2015 |
Last Update Date | 03/03/2015 |
Medicare PECOS PAC ID | 2365760550 |
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Medicare Enrollment ID | O20150420001639 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316339104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Badie Al Nemr |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1497968903 PECOS PAC ID: 4082702303 Enrollment ID: I20071119000700 |
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