Organization
TOLEDO SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY EGAN (OFFICE MANAGER)
(419) 724-4777
Entity
Organization
Contact information
Practice address
12621 ECKEL JUNCTION RD STE 2800, PERRYSBURG, OH 43551-1304
(419) 724-4777
Mailing address
12621 ECKEL JUNCTION RD STE 2800, PERRYSBURG, OH 43551-1304
(419) 724-4777
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0338389
—
OH
01
—
CM6062
RR MEDICARE
OH
Enumeration date
09/20/2006
Last updated
08/07/2020
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