Northcoast Family Practice, INC

NPI #1336364876 in Painesville, Ohio

Provider Information

NPI Number: 1336364876
Entity Type: Organization
Organization Name: Northcoast Family Practice, INC
Primary Specialty: Family Medicine
Enumeration Date: Apr 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 7515 FREDLE DR
City: Painesville
State: Ohio
ZIP Code: 44077-9406
Phone: (440) 352-0400

Authorized Official

Name: DR. DANIEL MODARELLI, D.O.
Title: PRESIDENT
Phone: (440) 352-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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