Organization Name: | PEDRO C ANLOAGUE, JR.,M.D.,INC |
NPI Number: | 1326256256 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEDRO CREER ANLOAGUE (OWNER) |
Mailing Address: | 1200 John Glenn Dr Seven Hills |
State: | OH US |
Postal Code: | 441312930 |
Phone Number: | 2163387796 |
Fax Number: | 2162653609 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 02/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 35035322 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |