Organization
WARREN EYE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES V MARTUCCIO JR. M.D. (OWNER/EMPLOYEE)
(330) 395-2020
Entity
Organization
Contact information
Practice address
302 NILES CORTLAND RD NE, WARREN, OH 44484-1940
(330) 395-2020
(330) 395-6200
Mailing address
302 NILES CORTLAND RD NE, WARREN, OH 44484-1940
(330) 395-2020
(330) 395-6200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-05-7104-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242393
—
OH
Enumeration date
10/19/2007
Last updated
11/05/2007
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