| Tmmg | |
|
20 Ohltown Rd Youngstown OH 44515-2331 | |
| (330) 797-9705 | |
| (330) 270-5997 |
| Full Name | Tmmg |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Ohltown Rd, Youngstown, Ohio |
| Authorized Official Name and Position | Mourad Rostom (PARTNER/EXECUTIVE) |
| Authorized Official Contact | 3303728800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmmg 20 Ohltown Rd Youngstown OH 44515-2331 Ph: (330) 797-9705 | Tmmg 20 Ohltown Rd Youngstown OH 44515-2331 Ph: (330) 797-9705 |
| NPI Number | 1538353883 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 01/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538353883 | NPI | - | NPPES |
| 1426141 | Other | OH | HIGHMARK BC/BS PA |
| 000000243183 | Other | OH | ANTHEM BC/BS OHIO |
| 0468677 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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