North Coast Surgery Center, LLC

NPI #1174572606 in Elyria, Ohio

Provider Information

NPI Number
1174572606
Entity Type
Organization
Organization Name
North Coast Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 10, 2006
Last Updated
Dec 4, 2009

Practice Location

Address
1170 E BROAD ST
Address 2
SUITE 104
City
Elyria
State
Ohio
ZIP Code
44035-6351
Phone
(440) 366-6029

Authorized Official

Name
DR. GEORGE COSTARAS, D.P.M.
Title
PRESIDENT
Phone
(440) 366-6029

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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