Individual
DR. JOSEPH A. BETHUY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3622 BELMONT AVE, SUITES 13 & 14, YOUNGSTOWN, OH 44505-1450
(330) 759-6888
(330) 759-8028
Mailing address
3622 BELMONT AVE, SUITES 13 & 14, YOUNGSTOWN, OH 44505-1450
(330) 759-6888
(330) 759-8028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35051211B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000015983
UNISON
OH
05
—
0602824
—
OH
01
—
1542954
GATEWAY
OH
01
—
341942845026
CARESOURCE
OH
01
—
ANTHEM
000000190779
OH
Enumeration date
03/03/2006
Last updated
07/21/2022
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