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Organization
PARTNERS PHYSICIAN GROUP
Active
Organization
PARTNERS PHYSICIAN GROUP
Active
Other names
Green Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAILLARD (DIRECTOR, FINANCE & OPERATIONS)
(330) 344-6095
Entity
Organization
Contact information
Practice address
3593 S ARLINGTON RD, AKRON, OH 44312-5271
(330) 896-0281
(330) 896-2901
Mailing address
3593 S ARLINGTON RD, AKRON, OH 44312-5271
(330) 896-0281
(330) 869-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
MEDICARE NPI GROUP NUMBER
OH
05
—
2395644
—
OH
01
—
2551671
MEDICAID GROUP # (NEW)
OH
Enumeration date
06/04/2006
Last updated
01/22/2009
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