Organization
E. A. DECHELLIS, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST A DECHELLIS D.O. (OWNER)
(330) 637-1000
Entity
Organization
Contact information
Practice address
3002 STATE ROUTE 5 STE B, CORTLAND, OH 44410-9202
(330) 637-1000
(330) 637-9905
Mailing address
3002 STATE ROUTE 5 STE B, CORTLAND, OH 44410-9202
(330) 637-1000
(330) 637-9905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4006
OH
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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