Organization
VASCULAR SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ZISKA (BUSINESS MANAGER)
(440) 816-5488
Entity
Organization
Contact information
Practice address
7255 OLD OAK BLVD, STE 108, CLEVELAND, OH 44130-3329
(440) 816-5488
(440) 816-4069
Mailing address
7255 OLD OAK BLVD, STE 108, CLEVELAND, OH 44130-3329
(440) 816-5488
(440) 816-4069
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453281
—
OH
01
—
CJ0835
RAILROAD MEDICARE
OH
Enumeration date
03/25/2006
Last updated
03/05/2013
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