Individual
DR. NICHOLAS G PROIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8423 MARKET ST STE 100, BOARDMAN, OH 44512-6778
(330) 707-5864
(330) 707-2210
Mailing address
8423 MARKET ST STE 100, BOARDMAN, OH 44512-6778
(330) 707-5864
(330) 707-2210
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35054349
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357308
ANTHEM PIN
OH
05
—
0738714
—
OH
Enumeration date
07/19/2006
Last updated
03/03/2008
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