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Organization

GAC ANESTHESIA LLC

Active
Parent organization
GASTROENTEROLOGY ASSOCIATES OF CLEVELAND, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
GASTROENTEROLOGY ASSOCIATES OF CLEVELAND, INC.
Authorized official
DR. JACK STEVEN LISSAUER M.D. (MANAGER)
(216) 593-7180
Entity
Organization

Contact information

Practice address
3700 PARK EAST DR, STE 100, BEACHWOOD, OH 44122-4339
(216) 593-7180
Mailing address
3700 PARK EAST DR, STE 100, BEACHWOOD, OH 44122-4339
(216) 593-7180

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
03/25/2011
Last updated
03/29/2011
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