Dr. Theodore A Buccilli Jr. is a Ravenna, Ohio based male podiatrist who is specialized in Podiatry. Active license number of Dr. Theodore A Buccilli Jr. for Podiatry is 36003352 in Ohio. Dr. Theodore A Buccilli Jr. is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Theodore A Buccilli Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
4403 Clover Dr, Ravenna, Ohio, 44266-8636
Phone:
330-687-7464
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1164413019
NPI Enumeration Date:
31 Oct, 2005
NPI Last Update On:
01 Mar, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Theodore A Buccilli Jr. are as mentioned below.
License Number
Specialization
State
Status
36003352
Podiatry
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Theodore A Buccilli Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2538178
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
25 S Main St, Ste 7 Munroe Falls, Ohio
Zip:
44262-1660
Phone Number:
234-706-2395
Fax Number:
234-678-8222
Patients can reach Dr. Theodore A Buccilli Jr. at 4403 Clover Dr, Ravenna, Ohio or can call to book an appointment on 330-687-7464. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Similar Podiatrist in Ravenna, OH
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