Organization
EASTERN OHIO PULMONARY CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY KALIC (PRACTICE MANAGER)
(330) 726-3357
Entity
Organization
Contact information
Practice address
960 WINDHAM CT, SUITE 1, BOARDMAN, OH 44512-5087
(330) 726-3357
(330) 726-1465
Mailing address
960 WINDHAM CT, SUITE 1, BOARDMAN, OH 44512-5087
(330) 726-3357
(330) 726-1465
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
01/09/2006
Last updated
11/18/2010
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