| Nicola Demacopoulos Md Inc | |
|
310 Winsor Drive Cortland OH 44410-2705 | |
| (330) 638-0068 | |
| (330) 637-0067 |
| Full Name | Nicola Demacopoulos Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 Winsor Drive, Cortland, Ohio |
| Authorized Official Name and Position | Nicola D Demacopoulso (PRESIDENT) |
| Authorized Official Contact | 3306380068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicola Demacopoulos Md Inc 310 Winsor Drive Cortland OH 44410-2705 Ph: (330) 638-0068 | Nicola Demacopoulos Md Inc 310 Winsor Drive Cortland OH 44410-2705 Ph: (330) 638-0068 |
| NPI Number | 1013119551 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 09/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013119551 | NPI | - | NPPES |
| 0874915 | Medicaid | OH | |
| 000000283762 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35063150D (Ohio) | Primary |
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