Organization
C E CORNACCHIONE LLC
Active
Organization
C E CORNACCHIONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE E CORNACCHIONE CNP (CERTIFIED NURSE PRACTITIONER)
(330) 733-4031
Entity
Organization
Contact information
Practice address
717 CANTON RD, AKRON, OH 44312-2606
(330) 733-4031
Mailing address
717 CANTON RD, AKRON, OH 44312-2606
(330) 733-4031
(330) 733-7887
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
NP07904
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344569
ANTHEM
OH
05
—
2505300
—
OH
01
—
278809918001
MEDICAL MUTUAL
OH
Enumeration date
10/26/2007
Last updated
11/23/2007
Update your record
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