Individual
DR. JOSEPH R CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1254 YOUNGSTOWN WARREN RD, STE 3A, NILES, OH 44446-4612
(330) 652-3000
(330) 652-3008
Mailing address
1254 YOUNGSTOWN WARREN RD, STE 3A, NILES, OH 44446-4612
(330) 652-3000
(330) 652-3008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35072593C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141444
—
OH
01
—
CO0847326
MEDICARE ID
OH
01
—
P00080212
RAILROAD MEDICARE
OH
Enumeration date
10/03/2005
Last updated
05/08/2008
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