Individual
FRANK YANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
755 BOARDMAN CANFIELD RD, BUILDING F UNIT 1, BOARDMAN, OH 44512-4300
(330) 726-3668
(330) 726-3669
Mailing address
PO BOX 80, HUBBARD, OH 44425-0080
(330) 726-3668
(330) 726-3669
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.00-3061
OH
213E00000X
Podiatrist
362
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376872
ANTHEMBCBS
OH
05
—
01801211
—
PA
05
—
2197939
—
OH
Enumeration date
07/01/2005
Last updated
08/08/2011
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