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Organization

USACS CRITICAL CARE MEDICINE SERVICES EAST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINIC BAGNOLI JR. (EXECUTIVE CHAIRMAN)
(330) 994-4409
Entity
Organization

Contact information

Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(844) 474-4019
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(844) 474-4019

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
11/16/2021
Last updated
04/03/2025
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