| Gastroenterology Association Of Cleveland, Inc. | |
|
3700 Park East Dr Suite 100 Beachwood OH 44122-4339 | |
| (216) 593-7502 | |
| (216) 593-7503 |
| Full Name | Gastroenterology Association Of Cleveland, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3700 Park East Dr, Beachwood, Ohio |
| Authorized Official Name and Position | James J Andrassy (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 2165937180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Association Of Cleveland, Inc. 3700 Park East Dr Suite 100 Beachwood OH 44122-4339 Ph: (216) 593-7502 | Gastroenterology Association Of Cleveland, Inc. 3700 Park East Dr Suite 100 Beachwood OH 44122-4339 Ph: (216) 593-7502 |
| NPI Number | 1639178163 |
|---|---|
| Provider Enumeration Date | 07/18/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639178163 | NPI | - | NPPES |
| 000000163694 | Other | OH | ANTHEM BCBS |
| 0552656 | Medicaid | OH | |
| CN0143 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Ohio) | Primary |
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