| NPI | 1659454163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M FEDELE President 216-464-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 35070501F) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2015-07-07 |