North Coast Gastroenterology, INC

NPI #1689793655 in Elyria, Ohio

Provider Information

NPI Number: 1689793655
Entity Type: Organization
Organization Name: North Coast Gastroenterology, INC
Primary Specialty: Specialist
Enumeration Date: Mar 28, 2007
Last Updated: Jul 27, 2007

Practice Location

Address: 125 E BROAD ST STE 114
City: Elyria
State: Ohio
ZIP Code: 44035-6429
Phone: (440) 329-5943

Authorized Official

Name: JAMES E LISI, M.D.
Title: PRESIDENT
Phone: (440) 329-5943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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