Organization
PEDIATRIC PULMONARY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE A VAUTHY M.D. (PRESIDENT)
(419) 291-2207
Entity
Organization
Contact information
Practice address
2121 HUGHES DR STE 640, TOLEDO, OH 43606-5126
(419) 291-4261
(419) 479-6061
Mailing address
2121 HUGHES DR STE 640, TOLEDO, OH 43606-5126
(419) 291-4261
(419) 479-6061
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0582712
—
OH
Enumeration date
09/16/2006
Last updated
11/27/2007
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