Doctor Name: | DR. JULIANNE DEMARTINO |
NPI Number: | 1225018690 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 35073590 |
Business Practice Address: | 935 Trailwood Dr Suite A Boardman, OH - 445125062 |
Business Phone Number: | 3306292410 |
Business Fax Number: | 3306292420 |
Mailing Address: | 8594 Raintree Run, POLAND |
State: | OH |
Postal Code: | 445142987 |
Phone Number: | 3307071949 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2006 |
NPI Last Update Date: | 06/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35073590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |