Organization
JOSEPH R CORDOVA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L CORDOVA (OFFICE MANAGER)
(330) 652-3000
Entity
Organization
Contact information
Practice address
1254 YOUNGSTOWN WARREN RD, NILES, OH 44446-4651
(330) 652-3000
(330) 652-3008
Mailing address
1254 YOUNGSTOWN WARREN RD, NILES, OH 44446-4651
(330) 652-3000
(330) 652-3008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35072593
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2463963
—
OH
01
—
DA9644
RAILROAD MEDICARE
OH
Enumeration date
08/14/2007
Last updated
05/08/2008
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