Organization
PULMONARY & CRITICAL CARE SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANY JOSEPH JACOB MD (OWNER/CEO)
(419) 377-6080
Entity
Organization
Contact information
Practice address
1661 HOLLAND RD STE 100, MAUMEE, OH 43537-4206
(419) 377-6080
Mailing address
1661 HOLLAND RD STE 100, MAUMEE, OH 43537-4206
(419) 343-5016
(419) 794-1328
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/16/2018
Last updated
02/06/2019
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