Organization
EMERGENCY MEDICINE PHYSICIANS OF WASHINGTON COUNTY, LLC
Active
Organization
EMERGENCY MEDICINE PHYSICIANS OF WASHINGTON COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C PACKO MD (PRESIDENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
25 WELLS ST, WESTERLY, RI 02891-2922
(401) 348-3506
(401) 348-3740
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
Other
Enumeration date
05/21/2013
Last updated
06/06/2013
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