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NPI Code Detail

MEDICARE: C P SAMMARONE JR DO INC

MEDICARE: C P SAMMARONE JR DO 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
1207Q00000XFamily Medicine Physician34006563SOH

General Provider Information

NPI Number : 1427237460
Entity Type Code : Organization
Provider Name (Legal Business Name) : C P SAMMARONE JR DO INC
Provider Business Mailing Address
First Line : 730 N MAIN ST
Second Line :
City : HUBBARD
State : OH
Zip : 44425-1126
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 730 N MAIN ST
Second Line :
City : HUBBARD
State : OH
Zip : 44425-1126
Country : US
Telephone Number : 330-534-1959
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CHARLES P SAMMARONE JR.
Credential : DO
Telephone Number : 330-534-1959
Provider Enumeration Date : 10/26/2007
Last Update Date : 10/26/2007

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Directions to “C P SAMMARONE JR DO INC ” Practice Location

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