Organization
ALHALLAQ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSIF ALHALLAQ M.D. (OWNER)
(330) 259-1145
Entity
Organization
Contact information
Practice address
4568 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 259-1145
(330) 259-1140
Mailing address
4568 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 259-1145
(330) 259-1140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35094254
OH
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275659104
NPI INDIVIDUAL
OH
05
—
3009229
—
OH
Enumeration date
06/02/2015
Last updated
07/24/2020
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