Organization
C BETANCOURT MED TECH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE CARLOS RIOS BETANCOURT (OWNER)
(419) 490-6122
Entity
Organization
Contact information
Practice address
427 W DUSSEL DR, STE 336, MAUMEE, OH 43537-4208
(419) 490-6122
Mailing address
427 W DUSSEL DR, STE 336, MAUMEE, OH 43537-4208
(419) 490-6122
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
OH
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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