Organization
PORTAGE PHYSICIANS ENDOSCOPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL YOUSSEF MD (PRESIDENT)
(330) 399-7215
Entity
Organization
Contact information
Practice address
3973 LOOMIS PKWY, RAVENNA, OH 44266-1803
(330) 399-7215
Mailing address
1622 E MARKET ST, WARREN, OH 44483-6613
(330) 399-7215
(330) 399-2411
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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