Individual
DEBRA GARGIULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1946 TOWN PARK BLVD, #200, UNIONTOWN, OH 44685-7855
(330) 896-3447
(330) 896-9919
Mailing address
1946 TOWN PARK BLVD, #200, UNIONTOWN, OH 44685-7855
(330) 896-3447
(330) 896-9919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-120920
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084339
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
05/23/2007
Last updated
11/05/2013
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