Organization
PATSY BUCCINO D O INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNA L BAKER (OFFICE MANAGER)
(330) 755-1495
Entity
Organization
Contact information
Practice address
624 YOUNGSTOWN POLAND RD, STRUTHERS, OH 44471-1106
(330) 755-1495
(330) 755-1497
Mailing address
624 YOUNGSTOWN POLAND RD, STRUTHERS, OH 44471-1106
(330) 755-1495
(330) 755-1497
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
004593
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0776941
—
OH
Enumeration date
07/16/2007
Last updated
10/09/2007
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