| Age Management & Internal Medicine Consultants Inc. | |
|
1949 State Route 59 Suite 102 Kent OH 44240-8124 | |
| (330) 673-0505 | |
| (330) 673-8708 |
| Full Name | Age Management & Internal Medicine Consultants Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1949 State Route 59, Kent, Ohio |
| Authorized Official Name and Position | Victor Y Kopyev (OWNER) |
| Authorized Official Contact | 3306862863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Age Management & Internal Medicine Consultants Inc. 1559 Elizabeth Ct Kent OH 44240-5018 Ph: (330) 673-0505 | Age Management & Internal Medicine Consultants Inc. 1949 State Route 59 Suite 102 Kent OH 44240-8124 Ph: (330) 673-0505 |
| NPI Number | 1366701575 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 05/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366701575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-074815 (Ohio) | Primary |
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