Individual
CHARLES E BOETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2588 ELM ROAD NE, CORTLAND, OH 44410-9298
(330) 841-5807
(330) 841-5858
Mailing address
2588 ELM ROAD NE, CORTLAND, OH 44410-9298
(330) 841-5807
(330) 841-5858
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.076482
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2128192
—
OH
Enumeration date
05/05/2006
Last updated
12/12/2013
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