| First Medical Associates | |
|
7341 Eisenhower Dr Boardman OH 44512-5900 | |
| (330) 726-1138 | |
| (330) 726-6128 |
| Full Name | First Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 7341 Eisenhower Dr, Boardman, Ohio |
| Authorized Official Name and Position | Thomas Nicholas Detesco (PRESIDENT) |
| Authorized Official Contact | 3307261138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Medical Associates 7341 Eisenhower Dr Boardman OH 44512-5900 Ph: (330) 726-1138 | First Medical Associates 7341 Eisenhower Dr Boardman OH 44512-5900 Ph: (330) 726-1138 |
| NPI Number | 1609877687 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609877687 | NPI | - | NPPES |
| 0518470 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35100173D (Ohio) | Primary |
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