Gac Anesthesia LLC

NPI #1770882052 in Beachwood, Ohio

Provider Information

NPI Number: 1770882052
Entity Type: Organization
Organization Name: Gac Anesthesia LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GASTROENTEROLOGY ASSOCIATES OF CLEVELAND, INC.
Primary Specialty: Anesthesiology
Enumeration Date: Mar 25, 2011
Last Updated: Mar 29, 2011

Practice Location

Address: 3700 PARK EAST DR
Address 2: STE 100
City: Beachwood
State: Ohio
ZIP Code: 44122-4339
Phone: (216) 593-7180

Authorized Official

Name: DR. JACK STEVEN LISSAUER, M.D.
Title: MANAGER
Phone: (216) 593-7180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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