Organization
AKRON DERMATOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F LIBECCO M.D. (PRESIDENT)
(330) 836-0201
Entity
Organization
Contact information
Practice address
3085 W MARKET ST STE 102, FAIRLAWN, OH 44333-3620
(330) 836-0201
(330) 836-9406
Mailing address
3085 W MARKET ST STE 102, FAIRLAWN, OH 44333-3620
(330) 836-0201
(330) 836-9406
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35085787
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2583619
—
OH
01
—
LI4159351
MEDICARE PROVIDER NUMBER
OH
Enumeration date
02/11/2010
Last updated
02/11/2010
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