Organization
CRYSTAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J FERRY (CEO)
(330) 668-4152
Entity
Organization
Contact information
Practice address
3975 EMBASSY PKWY, AKRON, OH 44333-8320
(330) 668-4040
Mailing address
3975 EMBASSY PKWY, AKRON, OH 44333-8320
(330) 668-4040
(330) 666-9423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222502
—
OH
Enumeration date
07/01/2006
Last updated
04/28/2025
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