Individual
FADEL ALKACACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5219
(330) 499-5700
Mailing address
4665 DOUGLAS CIR NW STE 100, CANTON, OH 44718-3673
(440) 709-9150
(440) 579-0191
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000379
OH
Other
Enumeration date
05/13/2020
Last updated
06/11/2020
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