Premium Pediatrics

NPI #1497730550 in Niles, Ohio

Provider Information

NPI Number: 1497730550
Entity Type: Organization
Organization Name: Premium Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Dec 13, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 918 YOUNGSTOWN WARREN RD
Address 2: SUITE C
City: Niles
State: Ohio
ZIP Code: 44446-4623
Phone: (330) 652-3100

Authorized Official

Name: CARRIE OKLOTA-FADELL, MD
Title: PRESIDENT
Phone: (330) 652-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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