Individual
PETER S CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7575 NORTHCLIFF AVE 301, BROOKLYN, OH 44144-3265
(330) 425-7806
(330) 405-3026
Mailing address
7575 NORTHCLIFF AVE 301, BROOKLYN, OH 44144-3265
(330) 425-7806
(330) 405-3026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35066260C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2164321
—
OH
Enumeration date
11/12/2006
Last updated
09/30/2015
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