Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 36.003854 | OH |
N | 222Z00000X | Podiatrist | 36.003854 | OH |
Y | 213EP1101X | Primary Podiatric Medicine | 36.003854 | OH |
NPI | 1326453010 |
---|---|
Provider Name | Matthew Michael Narducci |
First Address | North Lima, OH 44452-8702 |
Second Address | Columbiana, OH 44408-8493 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2014 |
Last Update Date | 13/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0222493 | (05) | OH |