Organization
NORTHEAST OHIO FOOT & ANKLE INC
Active
Organization
NORTHEAST OHIO FOOT & ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J SHELLITO DPM (VICE PRESIDENT)
(330) 534-5106
Entity
Organization
Contact information
Practice address
892 W LIBERTY ST, HUBBARD, OH 44425-1753
(330) 534-5106
Mailing address
8588 E MARKET ST, WARREN, OH 44484-2339
(330) 856-4444
(330) 856-9033
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36.003129
OH
213EP1101X
Primary Podiatric Medicine Podiatrist
SC005955
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2319093
—
OH
Enumeration date
02/06/2007
Last updated
12/06/2007
Update your record
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