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Individual

DR. RUBEN SALES ESCURO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
41201 SCHADDEN ROAD, SUITE 2, ELYRIA, OH 44035-2220
(440) 324-0401
(440) 324-0405
Mailing address
41201 SCHADDEN ROAD, SUITE 2, ELYRIA, OH 44035-2220
(440) 324-0401
(440) 324-0405

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
53202
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000139924
ANTHEM
OH
05
0688868
OH
01
30000941
UNITED HEALTHCARE
OH
01
341832420033
CARESOURCE
OH
01
830002970
RAILROAD MEDICARE
OH
01
CC6352
RAILROAD MEDICARE
OH
01
E53202
SUMMACARE
OH
Enumeration date
05/17/2006
Last updated
05/09/2008
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