Individual
DR. JOSE T DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3515 MASSILLON RD, SUITE 250, UNIONTOWN, OH 44685-7854
(330) 896-5651
(330) 896-5685
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35037126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260097
—
OH
Enumeration date
05/04/2006
Last updated
04/18/2013
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