Organization
NEUROSURGICAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER FRAGATOS MD (OWNER)
(440) 888-7360
Entity
Organization
Contact information
Practice address
6900 RIDGE RD, SUITE 202, PARMA, OH 44129-5650
(440) 888-7360
Mailing address
6900 RIDGE RD, SUITE 202, PARMA, OH 44129-5650
(440) 888-7360
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35083165
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE3706
RR MEDICARE
OH
Enumeration date
11/16/2007
Last updated
11/16/2007
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