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Theodore Buccilli, DPM
NPI 1164413019 · on the registry since 2005 · sole proprietor
Practice
- Address
- 4403 Clover Dr
Ravenna, OH 44266 - Phone
- (330) 687-7464
Registry record
- Primary taxonomy
- Podiatrist
213E00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio