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Individual

DR. GEORGE J PICHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PHD FACS

Contact information

Practice address
5005 ROCKSIDE RD STE 640, INDEPENDENCE, OH 44131-6808
(216) 328-0800
(216) 328-1860
Mailing address
5005 ROCKSIDE RD STE 640, INDEPENDENCE, OH 44131-6808
(216) 328-0800
(216) 328-1860

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35-05-1876-P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0647018
OH
Enumeration date
07/28/2006
Last updated
07/08/2007
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