Organization
ANTHONY P. KOULIANOS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY P KOULIANOS M.D. (OWNER)
(330) 953-3204
Entity
Organization
Contact information
Practice address
935 TRAILWOOD DR, SUITE A, YOUNGSTOWN, OH 44512-5062
(330) 953-3204
(330) 953-3206
Mailing address
935 TRAILWOOD DR, SUITE A, YOUNGSTOWN, OH 44512-5062
(330) 953-3204
(330) 953-3206
Taxonomy
Speciality
Code
Description
License number
State
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
35072348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021010
—
OH
Enumeration date
05/01/2013
Last updated
06/12/2015
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