Individual
DR. TONY THOMAS DERAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5701 MARKET ST, YOUNGSTOWN, OH 44512
(330) 758-5779
(330) 758-5747
Mailing address
5701 MARKET ST, YOUNGSTOWN, OH 44512
(330) 758-5779
(330) 758-5747
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
26481
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100447
—
OH
Enumeration date
03/14/2006
Last updated
08/02/2007
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