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Individual

ALLEN M AMORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
715 E WESTERN RESERVE RD, POLAND, OH 44514-3358
(330) 726-3204
(330) 729-9316
Mailing address
715 E WESTERN RESERVE RD, POLAND, OH 44514-3358
(330) 726-3204
(330) 729-9316

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.124017
OH
207RC0000X
Cardiovascular Disease Physician
35.124017
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35.124017
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0109018
OH
01
H365710
MEDICARE PTAN
OH
Enumeration date
05/01/2007
Last updated
10/11/2016
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