Organization
CHILDREN'S MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D DOUGLAS HACKENBERG M.D. (PHYSICIAN)
(330) 762-9038
Entity
Organization
Contact information
Practice address
370 E MARKET ST, AKRON, OH 44304-1526
(330) 762-9038
(330) 376-7697
Mailing address
370 E MARKET ST, AKRON, OH 44304-1526
(330) 762-9038
(330) 376-7697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35071363
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070922
—
OH
Enumeration date
03/05/2007
Last updated
08/22/2020
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