Organization · NPI-2

Crystal Clinic Orthopaedic Center, LLC

Special Hospital · Akron, OH

NPI number1447528930
StatusActive
Last updated in NPPESOct 13, 2021

Details

NPI
1447528930
Entity type
Organization (NPI-2)
Legal business name
Crystal Clinic Orthopaedic Center, LLC
Organization subpart
No
Enumeration date
Dec 12, 2011
Certification date
Oct 13, 2021
Last updated
Oct 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
284300000X Special Hospital––Yes

Other names

  • Ccoc - Crystal Plastic Surgeons (Doing Business As)

Practice location

3925 Embassy Pkwy
Suite 300
Akron, OH 44333-1782

Phone 330-668-4065 · Fax 330-668-4082

Mailing address

Po Box 72434
Cleveland, OH 44192-0002

Phone 330-668-4040 · Fax 330-668-4082

Authorized official

Daniel J Ferry
President/Ceo
3306704152

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