NPI 1063818466
Ohio Podiatric Physicians and Surgeons Group, LLC
Practice location
- Address
- 4696 Mahoning Ave NW, Warren, OH 44483-1419
- Phone
- (330) 847-0072
- Fax
- (330) 847-9930
- Mailing address
- 8175 Market St, Youngstown, OH 44512-6244
Authorised official
- Name
- Lawrence Didomenico
- Title
- Managing Partner
- Phone
- (330) 629-8800
Registered specialties (3)
Primary Podiatric Medicine Podiatrist
Primary
Foot & Ankle Surgery Podiatrist
Foot Surgery Podiatrist
Registry record
- NPI
- 1063818466
- Entity type
- Organization
- NPI issued
- 12 Nov 2014
- Record last updated
- 12 Nov 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.