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Organization
VINCENT E. PERKOWSKI, D.O., LLC
Active
Organization
VINCENT E. PERKOWSKI, D.O., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT E. PERKOWSKI D.O. (MEMBER)
(330) 834-9761
Entity
Organization
Contact information
Practice address
3300 BAILEY ST NW, SUITE 102, MASSILLON, OH 44646-3613
(330) 834-9761
(330) 834-9765
Mailing address
3300 BAILEY ST NW, SUITE 102, MASSILLON, OH 44646-3613
(330) 834-9761
(330) 834-9765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-6173
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2484422
—
OH
Enumeration date
10/25/2007
Last updated
10/25/2007
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