Organization
FIRST MEDICAL ASSOCIATES INC
Active
Other names
First Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS NICHOLAS DETESCO M.D. (PRESIDENT)
(330) 726-1138
Entity
Organization
Contact information
Practice address
7341 EISENHOWER DR, BOARDMAN, OH 44512-5900
(330) 726-1138
(330) 726-6128
Mailing address
7341 EISENHOWER DR, BOARDMAN, OH 44512-5900
(330) 726-1138
(330) 726-6128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35100173D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0518470
—
OH
Enumeration date
08/02/2005
Last updated
10/29/2014
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