Geauga Surgical Associates INC

NPI #1780776278 in Chardon, Ohio

Provider Information

NPI Number: 1780776278
Entity Type: Organization
Organization Name: Geauga Surgical Associates INC
Primary Specialty: Surgery
Enumeration Date: Sep 29, 2006
Last Updated: Jul 6, 2010

Practice Location

Address: 13170 RAVENNA ROAD
Address 2: SUITE 202
City: Chardon
State: Ohio
ZIP Code: 44024
Phone: (440) 286-2121

Authorized Official

Name: JOSEPH ANTHONY DIBLASIO, MD
Title: OWNER GENERAL SURGEON
Phone: (440) 286-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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