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Organization
OHIO CARDIOTHORACIC & VASUCLAR SURGEONS INC
Active
Organization
OHIO CARDIOTHORACIC & VASUCLAR SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZIN FOTOUHI M.D. (VICE PRESIDENT)
(419) 227-7702
Entity
Organization
Contact information
Practice address
951 COMMERCE PKWY, SUITE 201, LIMA, OH 45804-4040
(419) 227-7702
(419) 227-7991
Mailing address
951 COMMERCE PKWY, SUITE 201, LIMA, OH 45804-4040
(419) 227-7702
(419) 227-7991
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2252388
—
OH
01
—
4513328
AETNA
OH
Enumeration date
05/11/2006
Last updated
02/03/2010
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