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NPI Code Detail

MEDICARE: DOMINIC F CONTI DO

MEDICARE: DOMINIC F CONTI DO
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
1207Q00000XFamily Medicine Physician34008090OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912983495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIC F CONTI DO
Provider Business Mailing Address
First Line : 9471 MARKET ST STE A
Second Line :
City : NORTH LIMA
State : OH
Zip : 44452-8702
Country : US
Telephone Number : 330-726-7100
Fax Number : 330-758-0347
Provider Business Practice Location Address
First Line : 9471 MARKET ST STE A
Second Line :
City : NORTH LIMA
State : OH
Zip : 44452-8702
Country : US
Telephone Number : 330-726-7100
Fax Number : 330-758-0347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 12/19/2023

Similar Medicare Providers

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Practice Location Address:
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1134116221 — THOMAS J TRAIKOFF DO
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1376522326 — ADRIAN IERACI DO
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1750318184 — PRIMA HEALTH CARE LLC
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Directions to “ DOMINIC F CONTI DO” Practice Location

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