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Organization
PULMONARY AND CRITICAL SPECIALISTS INC
Active
Organization
PULMONARY AND CRITICAL SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANY JOSEPH JACOB M.D. (PRES CEO)
(419) 843-7800
Entity
Organization
Contact information
Practice address
1661 HOLLAND RD, SUITE 200, MAUMEE, OH 43537
(419) 843-7800
(419) 843-3444
Mailing address
1661 HOLLAND RD, SUITE 200, MAUMEE, OH 43537-4207
(419) 843-7800
(419) 843-3444
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NULL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
11/07/2005
Last updated
02/25/2013
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