Organization
EASTSHORE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CAPOBIANCO (OWNER)
(216) 302-1500
Entity
Organization
Contact information
Practice address
26300 EUCLID AVE STE 333, EUCLID, OH 44132-3702
(216) 302-1500
(216) 302-1520
Mailing address
26300 EUCLID AVE STE 333, EUCLID, OH 44132-3702
(216) 302-1500
(216) 302-1520
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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