Individual
DR. NICHOLAS A ATANASOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
819 MCKAY CT STE 102, BOARDMAN, OH 44512-5771
(330) 259-4849
(330) 629-2847
Mailing address
8090 MARKET ST, BOARDMAN, OH 44512-6216
(330) 629-2596
(330) 629-2847
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34007837
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2509888
—
OH
Enumeration date
04/28/2006
Last updated
11/07/2023
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