Organization
DR BADI ALTAWIL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ALTAWIL (OFFICE MANAGER)
(330) 847-6527
Entity
Organization
Contact information
Practice address
4439A MAHONING AVE NW, WARREN, OH 44483-1932
(330) 847-6527
(330) 847-6572
Mailing address
4439A MAHONING AVE NW, WARREN, OH 44483-1932
(330) 847-6527
(330) 847-6572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35072864
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137842
—
OH
Enumeration date
04/26/2006
Last updated
06/19/2008
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