Individual
DR. ROBERT J SHELLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1543 E MARKET ST, WARREN, OH 44483-6639
(330) 392-2700
(330) 392-2707
Mailing address
PO BOX 70, HUBBARD, OH 44425-0070
(330) 392-2700
(330) 392-2707
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003129S
OH
213E00000X
Podiatrist
SC005955
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101757359 0002
—
PA
05
—
2154163
—
OH
Enumeration date
09/27/2005
Last updated
07/23/2008
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