Organization
CLEVELAND ADVANCED SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEOMA J IGBOELI MD (OWNER)
(440) 953-8055
Entity
Organization
Contact information
Practice address
36100 EUCLID AVE, SUITE 330B, WILLOUGHBY, OH 44094-4456
(440) 953-8055
(440) 953-0242
Mailing address
PO BOX 22958, CLEVELAND, OH 44122-0958
(216) 595-9600
(216) 595-9601
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35098122
OH
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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