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Organization

VETERANS HEALTH ADMINISTRATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MURRAY ALTOSE M.D. (CHIEF)
(216) 791-3800
Entity
Organization

Contact information

Practice address
1400 TOD AVE NW, WARREN, OH 44485-2483
(330) 392-0311
(330) 392-0323
Mailing address
1400 TOD AVE NW, WARREN, OH 44485-2483
(330) 392-0311
(330) 392-0323

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
35060457
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
VAD0000
OH
Enumeration date
10/03/2006
Last updated
10/30/2008
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