| Tmmg | |
|
901 Trailwood Dr Youngstown OH 44512-5008 | |
| (330) 726-3000 | |
| (330) 726-2612 |
| Full Name | Tmmg |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 Trailwood Dr, Youngstown, Ohio |
| Authorized Official Name and Position | Mourad Rostom (CEO/PRESIDENT) |
| Authorized Official Contact | 3303728820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmmg 901 Trailwood Dr Youngstown OH 44512-5008 Ph: (330) 726-3000 | Tmmg 901 Trailwood Dr Youngstown OH 44512-5008 Ph: (330) 726-3000 |
| NPI Number | 1578757472 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 01/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578757472 | NPI | - | NPPES |
| 000000243183 | Other | OH | ANTHEM BC/BS OHIO |
| 0468677 | Medicaid | OH | |
| 1426141 | Other | OH | HIGHMARK BC/BS PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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