Organization
FORUM HEALTH ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARJEET S NAGPAUL M.D (DIRECTOR OF NEUROLOGY)
(330) 726-5500
Entity
Organization
Contact information
Practice address
755 BOARDMAN CANFIELD RD, BLDG P SUITE#1, YOUNGSTOWN, OH 44512-4300
(330) 726-5500
(330) 726-0155
Mailing address
PO BOX 1113, YOUNGSTOWN, OH 44501-1113
(330) 884-1000
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
35-04-0484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03522292
—
OH
01
—
35-04-0484
LICENSE
OH
Enumeration date
10/27/2005
Last updated
08/22/2020
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