Healthcare Provider Details

I. General information

NPI: 1922098144
Provider Name (Legal Business Name): DR. FRANK J. STEFANEC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 BOARDMAN CANFIELD RD
YOUNGSTOWN OH
44512-4044
US

IV. Provider business mailing address

3234 OLDE WINTER TRL
POLAND OH
44514-2892
US

V. Phone/Fax

Practice location:
  • Phone: 330-726-1689
  • Fax: 330-726-7107
Mailing address:
  • Phone: 330-726-1689
  • Fax: 330-726-7107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34002443
License Number StateOH

VIII. Authorized Official

Name: DR. FRANK J STEFANEC
Title or Position: PRESIDENT
Credential: D.O.
Phone: 330-726-1689