Organization
NORTH COAST GASTROENTEROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E LISI M.D. (PRESIDENT)
(440) 329-5943
Entity
Organization
Contact information
Practice address
125 E BROAD ST STE 114, ELYRIA, OH 44035-6429
(440) 329-5943
Mailing address
125 E BROAD ST STE 114, ELYRIA, OH 44035-6429
(440) 329-5943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0757972
—
OH
Enumeration date
03/28/2007
Last updated
07/27/2007
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