Organization
MIOARA TUDOSIE, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIOARA TUDOSIE (OWNER/PRESIDENT)
(330) 455-1511
Entity
Organization
Contact information
Practice address
2600 TUSCARAWAS ST W, SUITE 640, CANTON, OH 44708-4644
(330) 455-1511
(330) 455-5028
Mailing address
4347 PORTAGE ST NW STE 102, NORTH CANTON, OH 44720-7371
(800) 527-0336
(330) 244-8505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152782
—
OH
Enumeration date
12/07/2015
Last updated
04/01/2020
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