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Individual

MARY A. ALLEGRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8401 MARKET ST, YOUNGSTOWN, OH 44512-6725
(330) 286-5330
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN186985
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106911TV6
MEDICARE PTAN
PA
05
2617832
OH
01
8236361
MEDICARE PTAN
OH
01
P00276725
MEDICARE RAILROAD
OH
Enumeration date
06/11/2006
Last updated
11/09/2018
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