Organization
COLORECTAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEET RAM MEHTA MD (PRESIDENT)
(330) 759-8545
Entity
Organization
Contact information
Practice address
16 COLONIAL DR, YOUNGSTOWN, OH 44505-2137
(330) 759-8545
(330) 759-8543
Mailing address
16 COLONIAL DR, YOUNGSTOWN, OH 44505-2137
(330) 759-8545
(330) 759-8543
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35036259
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965835
—
OH
Enumeration date
10/24/2006
Last updated
04/28/2010
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