Individual
DR. JAMES V MARTUCCIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 NILES CORTLAND RD, WARREN, OH 44484
(330) 395-2020
(330) 395-6200
Mailing address
302 NILES CORTLAND RD, WARREN, OH 44484
(330) 395-2020
(330) 395-6200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-05-7140-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0822024
—
OH
Enumeration date
08/09/2005
Last updated
11/01/2007
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