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Organization
PULMONARY REHABILITATION ASSOCIATES
Active
Organization
PULMONARY REHABILITATION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIJO D SHUNTICH (CHIEF OPERATING OFFICER)
(330) 758-7575
Entity
Organization
Contact information
Practice address
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512-5008
(330) 758-7575
(330) 758-1833
Mailing address
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512-5008
(330) 758-7575
(330) 758-1833
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
04/19/2007
Last updated
01/24/2012
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