| Organization Name: | NORTHEAST OHIO FOOT & ANKLE INC |
| NPI Number: | 1689713448 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT J SHELLITO (VICE PRESIDENT) |
| Mailing Address: | 892 W Liberty St Hubbard |
| State: | OH US |
| Postal Code: | 444251753 |
| Phone Number: | 3305345106 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 12/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | SC005955 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |