Organization
TSA THORACIC SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI P CHRYSSOS RN (OFFICE MANAGER)
(330) 489-1427
Entity
Organization
Contact information
Practice address
1330 MERCY DR NW, SUITE 502, CANTON, OH 44708-2626
(330) 489-1427
Mailing address
PO BOX 76804, CLEVELAND, OH 44101-6500
(330) 489-1427
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
10/04/2005
Last updated
08/22/2020
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