| Premier Specialists In Infectious Disease, Llc | |
|
4316 Dressler Rd Nw Canton OH 44718-2752 | |
| (216) 849-0766 | |
| Not Available |
| Full Name | Premier Specialists In Infectious Disease, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4316 Dressler Rd Nw, Canton, Ohio |
| Authorized Official Name and Position | Badie Al Nemr (OWNER) |
| Authorized Official Contact | 2168490766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Specialists In Infectious Disease, Llc Po Box 80690 Canton OH 44708-0690 Ph: (330) 479-8705 | Premier Specialists In Infectious Disease, Llc 4316 Dressler Rd Nw Canton OH 44718-2752 Ph: (216) 849-0766 |
| NPI Number | 1316339104 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 03/03/2015 |
| Medicare PECOS PAC ID | 2365760550 |
|---|---|
| Medicare Enrollment ID | O20150420001639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316339104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Badie Al Nemr |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497968903 PECOS PAC ID: 4082702303 Enrollment ID: I20071119000700 |
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