| C E Cornacchione LLC | |
|
717 Canton Rd Akron OH 44312-2606 | |
| (330) 733-4031 | |
| Not Available |
| Full Name | C E Cornacchione LLC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 717 Canton Rd, Akron, Ohio |
| Authorized Official Name and Position | Catherine E Cornacchione (CERTIFIED NURSE PRACTITIONER) |
| Authorized Official Contact | 3307334031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C E Cornacchione LLC 717 Canton Rd Akron OH 44312-2606 Ph: (330) 733-4031 | C E Cornacchione LLC 717 Canton Rd Akron OH 44312-2606 Ph: (330) 733-4031 |
| NPI Number | 1861671828 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 11/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861671828 | NPI | - | NPPES |
| 2505300 | Medicaid | OH | |
| 000000344569 | Other | OH | ANTHEM |
| 278809918001 | Other | OH | MEDICAL MUTUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | NP07904 (Ohio) | Primary |
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