North Ohio Gastroenterology
Specialist in Westlake, OH. Organization (NPI-2).
NPI number1891942579
StatusActive
Last updated in NPPESAug 1, 2012
Details
- NPI
- 1891942579
- Entity type
- Organization (NPI-2)
- Legal business name
- North Ohio Gastroenterology
- Organization subpart
- No
- Enumeration date
- Aug 25, 2008
- Last updated
- Aug 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 174400000X | Specialist | – | OH |
Practice location
30701 Clemens RoadWestlake, OH 44145
Phone 440-617-1212 · Fax 440-617-1213
Mailing address
30701 Clemens RoadWestlake, OH 44145-1493
Phone 440-617-1212 · Fax 440-617-1213
Authorized official
Petra Boesinger
Administrator
4406171212
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