Organization
CHILD AND ADOLESCENT SPECIALTY CARE OF DAYTON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN GALEMMO L.P.N. (NURSING OFFICE MANAGER)
(937) 667-7711
Entity
Organization
Contact information
Practice address
1483 WEST MAIN STREET, TIPP CITY, OH 45371
(937) 667-7711
(937) 667-8067
Mailing address
1483 WEST MAIN STREET, TIPP CITY, OH 45371
(937) 667-7711
(937) 667-8067
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382910
—
OH
Enumeration date
09/25/2006
Last updated
08/22/2020
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