Organization
PARTNERS PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BRAMAN DO (CHIEF MEDICAL OFFICER)
(330) 665-8302
Entity
Organization
Contact information
Practice address
1946 TOWN PARK BLVD, 'SHARED SUITE', UNIONTOWN, OH 44685-8372
(330) 344-5487
(330) 344-2025
Mailing address
1946 TOWN PARK BLVD, 'SHARED SUITE', UNIONTOWN, OH 44685-8372
(330) 344-5487
(330) 344-2025
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
OH
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
OH
2084N0400X
Neurology Physician
—
OH
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
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
09/11/2014
Last updated
07/10/2015
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