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Individual

ROBERT S BAKONDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7525 CALIFORNIA AVE, BOARDMAN, OH 44512-5623
(330) 758-1954
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5724

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34002028
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000379656
ANTHEM
05
0360050
OH
01
P00266378
MEDICARE RAILROAD
Enumeration date
06/29/2006
Last updated
08/21/2007
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