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WARREN OTOLOGIC GROUP, INC

Allergy

Warren, Ohio

Provider NPI: 1720023351

Organization Information:
Organization Name:  WARREN OTOLOGIC GROUP, INC


Practice Location:
3893 E MARKET ST  WARREN, OH 44484 US
Tel: 330-856-4000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
OH
N207YX0901XPhysicians
Otolaryngology
OH
Y207Y00000XPhysicians
Otolaryngology
OH

Other Provider Identifiers:

IssuerNumberStateType
0092457OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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