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Organization

GERALDJ.D'AGOSTINO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERALD J D'AGOSTINO OD (OWNER)
(216) 587-6620
Entity
Organization

Contact information

Practice address
5404 NORTHFIELD RD, MAPLE HEIGHTS, OH 44137-3113
(216) 587-6620
(216) 587-6623
Mailing address
150 MALLARD CREEK RUN, LAGRANGE, OH 44050-9802
(440) 458-6272
(440) 458-6272

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332H00000X
Eyewear Supplier

Other

Enumeration date
06/22/2009
Last updated
06/22/2009
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