DR. Edward Macanga JR., DM

NPI #1780800250 in Berea, Ohio

Provider Information

NPI Number: 1780800250
Entity Type: Individual
Name: DR. Edward Macanga JR., DM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Mechanotherapist
Credential: DM
Enumeration Date: Apr 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 255 FRONT ST
City: Berea
State: Ohio
ZIP Code: 44017-1943
Phone: (440) 826-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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