Organization
RICHLAND PULMONARY AND CRITICAL CARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNIL J VAIDVA MD (VICE PRESIDENT)
(419) 524-8250
Entity
Organization
Contact information
Practice address
391 GLESSNER AVE, MANSFIELD, OH 44903-2107
(419) 524-8250
(419) 524-6164
Mailing address
391 GLESSNER AVE, MANSFIELD, OH 44903-2107
(419) 524-8250
(419) 524-6164
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2196609
—
OH
Enumeration date
08/22/2005
Last updated
08/25/2010
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