Organization
CENTER FOR OTOLARYNGOLOGY AND FACIAL PLASTIC SURGERY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETHANY A. CATALDI D.O. (OWNER)
(219) 836-4820
Entity
Organization
Contact information
Practice address
2203 45TH ST, SUITE 'B', HIGHLAND, IN 46322-2601
(219) 836-4820
(219) 836-5186
Mailing address
PO BOX 958, SCHERERVILLE, IN 46375-0958
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
02002695A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200841030 A
—
IN
Enumeration date
11/01/2006
Last updated
03/24/2015
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