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Organization
PAOLO C GIACOMINI, M.D. PC
Active
Organization
PAOLO C GIACOMINI, M.D. PC
Active
Other names
Ash Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLO C. GIACOMINI C GIACOMINI M.D. (OWNER)
(260) 563-8875
Entity
Organization
Contact information
Practice address
400 ASH ST, WABASH, IN 46992-1954
(260) 563-8875
(260) 569-9803
Mailing address
400 ASH ST, WABASH, IN 46992-1954
(260) 563-8875
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01038356
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042050A
—
IN
Enumeration date
07/22/2008
Last updated
07/22/2008
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