Individual
PAUL TERRY TSIVITSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 ARCH ST, SUITE 206, AKRON, OH 44304-1429
(330) 535-1510
(330) 535-1638
Mailing address
525 E MARKET ST, 1N, AKRON, OH 44304-1619
(330) 375-3588
(330) 375-7615
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-05-8009
OH
207RP1001X
Pulmonary Disease Physician
Primary
35-05-8009
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495067
—
OH
Enumeration date
10/11/2005
Last updated
01/04/2010
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