Organization
THEODORE A BUCCILLI JR DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CERIMELE (BILLING)
(330) 633-3445
Entity
Organization
Contact information
Practice address
116 EAST AVE, TALLMADGE, OH 44278-2328
(330) 633-3445
(330) 633-6028
Mailing address
116 EAST AVE, TALLMADGE, OH 44278-2328
(330) 633-3445
(330) 633-6028
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003352
OH
Other
Enumeration date
04/26/2006
Last updated
08/22/2020
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