Organization
PEDIATRIC SERVICE GROUP
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID IQBAL MD (OWNER)
(330) 759-9670
Entity
Organization
Contact information
Practice address
4308 BELMONT AVE, YOUNGSTOWN, OH 44505-1052
(330) 759-9670
(330) 759-9705
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 759-9670
(330) 759-9705
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
35043505
OH
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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