Organization
PEDIATRIC ASSOCIATES OF WARREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETE KONDOLIOS M.D. (PRESIDENT)
(330) 609-5588
Entity
Organization
Contact information
Practice address
321 NILES CORTLAND RD NE, WARREN, OH 44484-1974
(330) 609-5588
(330) 609-5740
Mailing address
321 NILES CORTLAND RD NE, WARREN, OH 44484-1974
(330) 609-5588
(330) 609-5740
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-06-1915-K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0942485
—
OH
05
—
23688978
—
OH
05
—
2510812
—
OH
Enumeration date
05/27/2006
Last updated
08/22/2020
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