Organization
GEORGE PETER PARRAS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARY D TATAR (OFFICE MANAGER)
(440) 892-6588
Entity
Organization
Contact information
Practice address
26908 DETROIT RD, 105, WESTLAKE, OH 44145-2398
(440) 892-6588
(440) 892-8721
Mailing address
26908 DETROIT RD, 105, WESTLAKE, OH 44145-2398
(440) 892-6588
(440) 892-8721
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
59468
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791746
—
OH
01
—
PA0674621
MEDICARE ID
OH
Enumeration date
11/17/2010
Last updated
03/07/2011
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