Organization
OHIO ANESTHESIA GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED J MARTELLO (AUTHORISED REPRESENTATIVE)
(330) 656-5215
Entity
Organization
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 656-5215
Mailing address
4665 DOUGLAS CIR NW STE 100, CANTON, OH 44718-3673
(330) 499-5700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/28/2008
Last updated
03/15/2019
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