Hartville Internal Medicine PA

NPI #1518948702 in Hartville, Ohio

Provider Information

NPI Number: 1518948702
Entity Type: Organization
Organization Name: Hartville Internal Medicine PA
Subpart: Yes (part of a larger organization)
Parent Organization: HARTVILLE INTERNAL MEDICINE PA
Primary Specialty: Internal Medicine
Enumeration Date: Nov 7, 2005
Last Updated: May 2, 2012

Practice Location

Address: 855 W MAPLE ST
Address 2: SUITE 130
City: Hartville
State: Ohio
ZIP Code: 44632-9668
Phone: (330) 877-9388

Authorized Official

Name: AMIN YOUSSEF KHALIL, M.D.
Title: PRESIDENT
Phone: (330) 877-9388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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