Fammartino, Joseph James

Fammartino, Joseph James is an individual health care provider with primary practice located at 4676 Douglas Cir Nw , Canton OH 44718-3619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fammartino, Joseph James can be contacted via phone (330) 494-1116.

Contact Information

Primary practice address
4676 Douglas Cir Nw Canton OH 44718-3619
Phone: (330) 494-1116
Fax: (330) 494-0276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD2006-0840 New Mexico
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD60275755 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35040894 Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD040856E Pennsylvania

Profile Details

NPI number 1528061876
LBN Legal business name Fammartino, Joseph James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528061876 NPPES
Pennsylvania MEDICAID 1256825/03
Pennsylvania MEDICAID 87356023
Pennsylvania MEDICAID 0405903

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