Organization
TRI COUNTY ORTHOPEDIC SURGEONS INCORPORATED
Active
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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