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Organization
NORTHCOAST ANESTHESIA PROVIDERS
Active
Organization
NORTHCOAST ANESTHESIA PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J PUJOLAS DO (DIRECTOR)
(440) 708-0102
Entity
Organization
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 827-5000
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2183793
—
OH
01
—
CG9622
RAILROAD MEDICARE
OH
Enumeration date
08/23/2005
Last updated
04/23/2009
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