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Organization
ROBERT J. SHELLITO DPM, INC.
Active
Organization
ROBERT J. SHELLITO DPM, INC.
Active
Other names
Robert J. Shellito, DPM, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JUDE SHELLITO DPM (PRESIDENT/PODIATRIST)
(330) 534-4438
Entity
Organization
Contact information
Practice address
1543 E MARKET ST, WARREN, OH 44483-6639
(330) 392-2700
(330) 392-2707
Mailing address
PO BOX 70, HUBBARD, OH 44425-0070
(330) 534-4438
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003129
OH
213E00000X
Podiatrist
SC005955
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101757359 0002
—
PA
05
—
2154163
—
OH
Enumeration date
03/27/2008
Last updated
11/21/2012
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