Tracy L Neuendorf in Youngstown - Addiction Medicine

Tracy L Neuendorf - NPI 1275509275

Tracy L Neuendorf is a Addiction Medicine in Youngstown, Ohio. Tracy L Neuendorf practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Tracy L Neuendorf is 1275509275. The last update date is 2020-04-30.

Tracy L Neuendorf's current location address is 1011 Boardman Canfield Rd, Youngstown, Ohio. You can contact this provider via phone number 3306292888 and fax number 3306298940. The mailing address for Tracy L Neuendorf is 1011 Boardman Canfield Rd, Youngstown, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy L Neuendorf
Address 1011 Boardman Canfield Rd, Youngstown, Ohio
Phone Number 3306292888
Fax Number 3306298940
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1275509275
Provider Enumeration Date 2006-02-28
Last Updated Date 2020-04-30

Provider Mailing Address Detail

Address 1011 Boardman Canfield Rd
City Youngstown
State Ohio (OH)
Post Code 445124226
Phone Number 3306292888
Fax Number 3306298940

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207La0401X
Licence No 34.003509
Definition:
An anesthesiologist who specializes in the diagnosis and treatment of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
403561 OH HIGHMARK BC/BS
10273680005 PA --
127674 OH ANTHEM
601834 OH --

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FAQs about Tracy L Neuendorf

What is the unique identification code assigned to Tracy L Neuendorf by the Centers for Medicare & Medicaid Services?

The Tracy L Neuendorf has been issued the NPI (National Provider Identifier) 1275509275. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Tracy L Neuendorf is located?

The Tracy L Neuendorf is situated at the following address: 1011 Boardman Canfield Rd, Youngstown, OH, 445124226.

What is Tracy L Neuendorf's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tracy L Neuendorf is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 207La0401X.

When was the Tracy L Neuendorf's 1275509275 issued?

The Tracy L Neuendorf's 1275509275 was issued on 2006-02-28.

When was the information regarding Tracy L Neuendorf, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tracy L Neuendorf, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-04-30.

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