Eastside Ent Specialists, INC
NPI #1215907845 in Painesville, Ohio
Provider Information
- NPI Number
- 1215907845
- Entity Type
- Organization
- Organization Name
- Eastside Ent Specialists, INC
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 25, 2006
- Last Updated
- Feb 16, 2010
Practice Location
- Address
- 7580 AUBURN ROAD
- Address 2
- #103
- City
- Painesville
- State
- Ohio
- ZIP Code
- 44077
- Phone
- (440) 352-1474
Authorized Official
- Name
- DR. E. LUKE BOLD, M.D.
- Title
- VICE PRESIDENT
- Phone
- (440) 352-1474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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