Organization
ASHTABULA PULMONARY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATI MOLINOFF (TREASURER)
(440) 275-3433
Entity
Organization
Contact information
Practice address
2121 LAKE AVE, ASHTABULA, OH 44004-3435
(440) 998-4775
(440) 998-5922
Mailing address
PO BOX 1435, ASHTABULA, OH 44005-1435
(440) 275-3433
(440) 275-3031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
084570
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0541962
—
OH
01
—
50055
STATE MEDICAL BOARD
OH
Enumeration date
07/27/2005
Last updated
02/12/2010
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