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Organization

AHN OBSERVATION GROUP LLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(844) 474-4019
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(844) 474-4019

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Enumeration date
11/03/2021
Last updated
02/19/2024
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