Organization
AUSTINTOWN PEDIATRICS INC
Active
Organization
AUSTINTOWN PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH F CAMPANELLI (PRACTICE ADMINISTRATOR)
(330) 797-0455
Entity
Organization
Contact information
Practice address
107 JAVIT CT, YOUNGSTOWN, OH 44515-2442
(330) 797-0455
Mailing address
107 JAVIT CT, YOUNGSTOWN, OH 44515-2442
(330) 797-0455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055065
—
OH
Enumeration date
06/01/2011
Last updated
06/01/2011
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