Organization
ROBERT J. SHELLITO DPM, INC.
Active
Other names
Robert J. Shellito, DPM, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JUDE SHELLITO DPM (PRESIDENT/PODIATRIST)
(330) 534-4438
Entity
Organization
Contact information
Practice address
1543 E MARKET ST, WARREN, OH 44483-6639
(330) 392-2700
(330) 392-2707
Mailing address
PO BOX 70, HUBBARD, OH 44425-0070
(330) 534-4438
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003129
OH
213E00000X
Podiatrist
SC005955
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101757359 0002
—
PA
05
—
2154163
—
OH
Enumeration date
03/27/2008
Last updated
11/21/2012
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