Unknown Individual – Family Medicine Physician, NPI 1417952490
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Mahoning Avenue Northwest, Mahoning Avenue Historic District, Warren, Trumbull County, Ohio, 44483, United States
WARREN, OH 444831190
Phone: (330) 847-7217
Fax: (330) 847-0563
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44483)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| N E U R O S U R G E R Y | FL | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Internal Medicine | MA | |
| - | PA | |
| General Surgery | PA | |
| - | PA | |
| - | MA | |
| - | MA |
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