Organization Name: | RPJ LIBERTY ENTERPRISES |
NPI Number: | 1023466240 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROY PALUMBO (PARTNER) |
Mailing Address: | 4300 Belmont Ave Suite #6 Youngstown |
State: | OH US |
Postal Code: | 445051084 |
Phone Number: | 3307599666 |
Fax Number: | 3307599668 |
NPI Enumeration Date: | 05/27/2016 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |