Organization
PARTNERS PHYSICIAN GROUP
Active
Other names
Akron General Breast Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAILLARD (DIRECTOR, FINANCE & OPERATIONS)
(330) 344-6095
Entity
Organization
Contact information
Practice address
400 WABASH AVE, AKRON, OH 44307-2433
(330) 344-2771
(330) 344-0071
Mailing address
400 WABASH AVE, AKRON, OH 44307-2433
(330) 344-2771
(330) 344-0071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE #
OH
Enumeration date
10/07/2011
Last updated
10/20/2011
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