Provider Demographics
NPI:1265566269
Name:TIRMONIA, VIRGIL (MD)
Entity type:Individual
Prefix:DR
First Name:VIRGIL
Middle Name:
Last Name:TIRMONIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3422 CROYDON DR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3222
Mailing Address - Country:US
Mailing Address - Phone:330-492-7159
Mailing Address - Fax:
Practice Address - Street 1:3422 CROYDON DR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-3222
Practice Address - Country:US
Practice Address - Phone:330-492-7159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-02-1281207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine