Organization
GREGORY SASARAK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S SASARAK O.D. (OWNER)
(440) 365-9311
Entity
Organization
Contact information
Practice address
280 S LOGAN ST, ELYRIA, OH 44035-6224
(440) 365-9311
(440) 366-5057
Mailing address
280 S LOGAN ST, ELYRIA, OH 44035-6224
(440) 365-9311
(440) 366-5057
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2642840
—
OH
Enumeration date
10/11/2012
Last updated
10/30/2012
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