Organization
CONITACA MEDICAL ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN ESCOBAR MD (OWNER)
(330) 654-3600
Entity
Organization
Contact information
Practice address
17674 MAHONING AVE, LAKE MILTON, OH 44429-9582
(330) 654-3600
(330) 654-3811
Mailing address
17674 MAHONING AVE, LAKE MILTON, OH 44429-9582
(330) 654-3600
(330) 654-3811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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