Organization
MICHAEL J. MILADORE, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. MILADORE MD (OWNER)
(330) 747-2700
Entity
Organization
Contact information
Practice address
1335 BELMONT AVE, YOUNGSTOWN, OH 44504-1135
(330) 747-2700
(330) 747-2211
Mailing address
1335 BELMONT AVE, YOUNGSTOWN, OH 44504-1135
(330) 747-2700
(330) 747-2211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
54953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0595361
MEDICARE PTAN
OH
Enumeration date
10/20/2010
Last updated
12/22/2010
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