Obstetrical & Gynecological

NPI #1073713939 in Chardon, Ohio

Provider Information

NPI Number: 1073713939
Entity Type: Organization
Organization Name: Obstetrical & Gynecological
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jul 19, 2007
Last Updated: Jul 19, 2007

Practice Location

Address: 12475 HOSPITAL DR
City: Chardon
State: Ohio
ZIP Code: 44024-9028
Phone: (440) 286-6633

Authorized Official

Name: VICHAI DUANGJAK, M.D.
Title: PRESIDENT
Phone: (440) 286-6633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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