| NPI | 1568763985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY D TATAR Office Manager 440-892-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: OH 59468) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2011-03-07 |