Healthcare Provider Details

I. General information

NPI: 1447530704
Provider Name (Legal Business Name): JAMES P. D'APOLITO MD PEDIATRICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2011
Last Update Date: 08/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4316 BELMONT AVE
YOUNGSTOWN OH
44505-1006
US

IV. Provider business mailing address

4316 BELMONT AVE
YOUNGSTOWN OH
44505-1006
US

V. Phone/Fax

Practice location:
  • Phone: 330-759-8992
  • Fax: 330-759-9306
Mailing address:
  • Phone: 330-759-8992
  • Fax: 330-759-9306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number35-061502
License Number StateOH

VIII. Authorized Official

Name: JAMES PHILIP D'APOLITO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 330-759-8992