Organization
D AMICO PATCHEN SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAHAR S KNODEL (PRACTICE MANAGER)
(330) 856-6201
Entity
Organization
Contact information
Practice address
8601 E MARKET ST, WARREN, OH 44484-2347
(330) 856-6201
(330) 856-6349
Mailing address
8601 E MARKET ST, WARREN, OH 44484-2347
(330) 856-6201
(330) 856-6349
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0976556
—
OH
Enumeration date
08/14/2007
Last updated
07/22/2010
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