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Individual

THEODORE JOSEPH BELTAVSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3574 CENTER RD, BRUNSWICK, OH 44212-3618
(440) 552-8066
Mailing address
3574 CENTER RD, BRUNSWICK, OH 44212-3618
(440) 552-8066

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008379RX
OH

Other

Enumeration date
03/24/2023
Last updated
06/06/2025
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