MEDICARE: WARREN MEDICAL SPECIALISTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35067145	OH

General Provider Information

NPI Number	:	1790956191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARREN MEDICAL SPECIALISTS INC

Provider Business Mailing Address
First Line	:	9375 E MARKET ST
Second Line	:	STE1
City	:	WARREN
State	:	OH
Zip	:	44484-5552
Country	:	US
Telephone Number	:	330-609-5089
Fax Number	:	330-609-6634

Provider Business Practice Location Address
First Line	:	9375 E MARKET ST
Second Line	:	STE1
City	:	WARREN
State	:	OH
Zip	:	44484-5552
Country	:	US
Telephone Number	:	330-609-5089
Fax Number	:	330-609-6634

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER C CHUIRAZZI
Credential	:	MD
Telephone Number	:	330-609-5089

Provider Enumeration Date	:	03/13/2008
Last Update Date	:	11/10/2016

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