NORTHEASTERN OHIO FOOT & ANKLE SURGICAL ASSOCIATES, INC. is a foot and ankle surgery podiatrist in Ravenna, OH. NORTHEASTERN OHIO FOOT & ANKLE SURGICAL ASSOCIATES, INC. NPI is 1639235351. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4403 CLOVER DR
RAVENNA, OH
ZIP 44266-636
Phone: (330) 687-7464
The provider's authorized official is Theodore A. Buccilli .
The authorized official title is President and has the following contact phone number (330) 687-7464.
The CLIA number assigned to this NPI record is 36D0948332 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/28/2006 and was last updated on 3/7/2023.