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Organization

PERRYSBURG PODIATRY LLC

Active
Other names
Edward F. Szabo, D.P.M.
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD FRANCIS SZABO D.P.M. (OWNER-PRESIDENT)
(419) 874-9702
Entity
Organization

Contact information

Practice address
5705 MONCLOVA RD, SUITE 202, MAUMEE, OH 43537-1877
(419) 893-3711
(419) 874-2013
Mailing address
5705 MONCLOVA RD, SUITE 202, MAUMEE, OH 43537-1877
(419) 893-3711
(419) 874-2013

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-003362
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000337790
ANTHEM
OH
01
115437
NATIONWIDE HEALTH PLANS
OH
01
1437186012
NPI TYPE-1
OH
05
2461465
OH
01
293725265002
MEDICAL MUTUAL PIN
OH
01
5001000002
ADMINISTAR FEDERAL
OH
01
7807531
AETNA PIN
OH
01
8696700
CIGNA
OH
Enumeration date
05/03/2007
Last updated
01/27/2009
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