North Ohio Gastroenterology

NPI #1891942579 in Westlake, Ohio

Provider Information

NPI Number: 1891942579
Entity Type: Organization
Organization Name: North Ohio Gastroenterology
Primary Specialty: Specialist
Enumeration Date: Aug 25, 2008
Last Updated: Aug 1, 2012

Practice Location

Address: 30701 CLEMENS ROAD
City: Westlake
State: Ohio
ZIP Code: 44145
Phone: (440) 617-1212

Authorized Official

Name: PETRA BOESINGER
Title: ADMINISTRATOR
Phone: (440) 617-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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