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Organization

NICHOLAS P DEPIZZO DO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS DEPIZZO D.O. (PRESIDENT)
(330) 759-0435
Entity
Organization

Contact information

Practice address
4991 BELMONT AVE, YOUNGSTOWN, OH 44505-1017
(330) 759-0435
Mailing address
4991 BELMONT AVE, YOUNGSTOWN, OH 44505-1017
(330) 759-0435

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007530D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023086816
MEDICARE NPI
OH
01
1063682052
MEDICARE NPI
OH
Enumeration date
03/05/2008
Last updated
03/18/2008
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