Organization
TRUMBULL EMERGENCY GROUP PC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDE MALICAN MD (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
1350 E MARKET ST, WARREN, OH 44483-6608
(330) 841-9011
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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