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Dr. Theodore A Buccilli JR., DPM
Podiatrist in Ravenna, Ohio
NPI 1164413019

Theodore A Buccilli JR. is a Podiatrist based in Munroe Falls, OH. Theodore A Buccilli JR. practices in Ravenna, OH and has the professional credentials of DPM. The NPI Number for Theodore A Buccilli JR. is 1164413019 and holds a License No. 36003352 (Ohio).

The current practice location address for Theodore A Buccilli JR. is 4403 Clover Dr, Ravenna, OH and can be reached out via phone at 330-687-7464.

Location: 4403 Clover Dr, Ravenna, OH, 44262-1660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164413019
Provider Name
Theodore A Buccilli JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4403 Clover Dr, Ravenna, OH, 44262-1660
Phone Number
330-687-7464
Fax Number
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2538178 05 OH
institution
Provider Business Practice Location Address Details
Address
4403 Clover Dr
City
Ravenna
State
Ohio
Zip
44266-8636
Phone Number
330-687-7464
Fax Number
person
Provider Business Mailing Address Details
Address
4403 Clover Dr
City
Ravenna
State
Ohio
Zip
44266-8636
Phone Number
330-687-7464
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
36003352 (Ohio)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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