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NPI Code Detail

MEDICARE: FAMILY PHYSICIANS INC

MEDICARE: FAMILY PHYSICIANS 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 Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CB2203OTHEROHRAILROAD MEDICARE

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 : 1578537825
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY PHYSICIANS INC
Provider Business Mailing Address
First Line : 4860 FRANK RD NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-7426
Country : US
Telephone Number : 330-494-7099
Fax Number : 330-494-2147
Provider Business Practice Location Address
First Line : 4860 FRANK RD NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-7426
Country : US
Telephone Number : 330-494-7099
Fax Number : 330-494-2147
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : AMY HUPP
Credential :
Telephone Number : 330-966-3149
Provider Enumeration Date : 02/14/2006
Last Update Date : 03/20/2017

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Directions to “FAMILY PHYSICIANS INC ” Practice Location

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