Organization
F.E.YUZON, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA SOOY (BILLER)
(440) 960-6430
Entity
Organization
Contact information
Practice address
3600 KOLBE RD, SUITE 205, LORAIN, OH 44053-1654
(440) 960-6430
(440) 960-6434
Mailing address
3600 KOLBE RD, SUITE 205, LORAIN, OH 44053-1654
(440) 960-6430
(440) 960-6434
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35035173
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9153751
MEDICARE PROVIDER I.D. #
OH
01
—
CB0354
RAILROAD MEDICARE
OH
Enumeration date
12/04/2007
Last updated
11/04/2014
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