Organization
PARTNERS PHYSICIAN GROUP
Active
Other names
Akron Breast Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAILLARD (DIRECTOR FINANCE BUSINESS OPERATION)
(330) 344-6095
Entity
Organization
Contact information
Practice address
2603 W MARKET ST, AKRON, OH 44313-4208
(330) 873-9700
(330) 873-9702
Mailing address
2603 W MARKET ST, AKRON, OH 44313-4208
(330) 873-9700
(330) 873-9702
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
NPI GROUP # (PARTNERS PHYSICIAN GROUP)
OH
01
—
2551671
MEDICAID GROUP # (PARTNERS PHYSICIAN GROUP)
OH
01
—
9338635
MEDICARE GROUP #
OH
Enumeration date
12/20/2007
Last updated
11/01/2012
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