Organization
WADSWORTH RITTMAN HOSPITAL PROFESSIONAL SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY COLETTI (ADMINISTRATOR)
(330) 331-1498
Entity
Organization
Contact information
Practice address
195 WADSWORTH RD, WADSWORTH, OH 44281-9504
(330) 335-2005
(330) 334-2798
Mailing address
195 WADSWORTH RD, WADSWORTH, OH 44281-9504
(330) 331-1498
(330) 334-2946
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2821281
—
OH
01
—
DE2885
RR MEDICARE
OH
Enumeration date
03/20/2008
Last updated
06/16/2008
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