Unknown Individual – Family Medicine Physician, NPI 1528061678
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Market Street, Colony Square, Boardman, Mahoning County, Ohio, 44408, United States
SUITE A
BOARDMAN, OH 445124562
Phone: (330) 726-3379
Fax: (330) 726-8683
Type: Location
Troy Post Office, 400, Broadway, Downtown, City of Troy, Rensselaer County, New York, 12180, United States
TROY, MI 480991239
Phone: (248) 824-6600
Fax: (248) 324-1477
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44512)
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