Individual
FREDERICK A. PEACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3658
(330) 480-3439
Mailing address
4135 BOARDMAN-CANFIELD ROAD, SUITE 101, CANFIELD, OH 44406-7010
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-049435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050033971
MEDICARE RAILROAD
OH
05
—
0633112
—
OH
Enumeration date
06/17/2006
Last updated
12/10/2014
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