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Individual

MR. ROBERT HARASTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
5001 TRANSPORTATION DR, SHEFFIELD VILLAGE, OH 44054-2849
(440) 329-2800
Mailing address
5001 TRANSPORTATION DR, SHEFFIELD VILLAGE, OH 44054-2849
(440) 329-2800

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50-002321
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00709959
RAILROAD MEDICARE
OH
Enumeration date
10/10/2006
Last updated
01/14/2021
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