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Organization
THOMAS A BAILEY MD INC
Active
Organization
THOMAS A BAILEY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ANDREW BAILEY MD (PRESIDENT)
(330) 792-2976
Entity
Organization
Contact information
Practice address
25 N CANFIELD NILES RD, SUITE 160, YOUNGSTOWN, OH 44515-2328
(330) 792-2976
(330) 792-8707
Mailing address
25 N CANFIELD NILES RD, SUITE 160, YOUNGSTOWN, OH 44515-2328
(330) 792-2976
(330) 792-8707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35080265B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329418
ANTHEM
OH
05
—
2313446
—
OH
01
—
P00123854
RAILROAD MEDICARE
—
Enumeration date
10/22/2007
Last updated
07/15/2009
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