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Organization

M. TERELETSKY, D.O., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK J TERELETSKY (OWNER)
(330) 684-1300
Entity
Organization

Contact information

Practice address
830 S MAIN ST, ORRVILLE, OH 44667-2291
(330) 684-1300
Mailing address
PO BOX 126, CUYAHOGA FALLS, OH 44222-0126

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34 004475
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0686057
OH
Enumeration date
08/22/2006
Last updated
08/22/2020
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