Organization
NORTHEAST OHIO SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME BERNARD YOKIEL M.D. (PRESIDENT)
(216) 360-9610
Entity
Organization
Contact information
Practice address
3755 ORANGE PL, SUITE 102, BEACHWOOD, OH 44122-4426
(216) 360-9610
Mailing address
3755 ORANGE PL, SUITE 102, BEACHWOOD, OH 44122-4426
(216) 360-9610
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2391737
—
OH
01
—
3611631
MEDICARE PTAN
OH
Enumeration date
01/09/2015
Last updated
01/09/2015
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