Organization
TRI COUNTY ORTHOPEDIC SURGEONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL NEIL MORETTA D.O. (PRESIDENT)
(330) 837-8391
Entity
Organization
Contact information
Practice address
3244 BAILEY ST NW, MASSILLON, OH 44646-3616
(330) 837-8391
(330) 837-2221
Mailing address
3244 BAILEY ST NW, MASSILLON, OH 44646-3616
(330) 837-8391
(330) 837-2221
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3505
OH
207XS0117X
Orthopaedic Surgery of the Spine Physician
4160
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
36-003415
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242437
—
OH
05
—
0530956
—
OH
05
—
0817772
—
OH
05
—
2599068
—
OH
01
—
3505
DANIEL MORETTA LICENSE
OH
01
—
36003415
LICENSE
OH
01
—
4160
JEFFREY COCHRAN LICENSE
OH
Enumeration date
05/23/2005
Last updated
06/16/2010
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