Organization
NEO UROLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT S RICCHIUTI M.D. (PRESIDENT)
(330) 729-9214
Entity
Organization
Contact information
Practice address
7430 SOUTHERN BLVD, BOARDMAN, OH 44512-5629
(330) 729-9214
(330) 729-9217
Mailing address
7430 SOUTHERN BLVD, BOARDMAN, OH 44512-5629
(330) 729-9214
(330) 729-9217
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716005
—
OH
Enumeration date
07/09/2006
Last updated
11/28/2012
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