Organization
MICHAEL T. CILETTIM.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS CILETTI MD (PRESIDENT)
(330) 652-5455
Entity
Organization
Contact information
Practice address
425 ROBBINS AVE, NILES, OH 44446-2409
(330) 652-5455
(330) 652-1689
Mailing address
425 ROBBINS AVE, NILES, OH 44446-2409
(330) 652-5455
(330) 652-1689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35061086
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0849701
—
OH
Enumeration date
10/15/2007
Last updated
10/15/2007
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