Organization
PULMONARY AND CRITICAL SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE JACOB (MANAGER)
(419) 794-1330
Entity
Organization
Contact information
Practice address
7640 SYLVANIA AVE, SUITE N, SYLVANIA, OH 43560
(419) 843-7800
(419) 843-3444
Mailing address
1661 HOLLAND RD, SUITE 200, MAUMEE, OH 43537-4207
(419) 843-7800
(419) 843-3444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202020
—
OH
Enumeration date
03/28/2007
Last updated
02/18/2013
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