Organization
PETER M DEVITO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M DE VITO MD (PHYSICIAN)
(330) 758-3985
Entity
Organization
Contact information
Practice address
7600 SOUTHERN BLVD, SUITE #2, YOUNGSTOWN, OH 44512-6085
(330) 758-3985
Mailing address
7600 SOUTHERN BLVD, SUITE #2, YOUNGSTOWN, OH 44512-6085
(330) 758-3985
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35064590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259376
—
OH
Enumeration date
04/09/2014
Last updated
04/09/2014
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