Organization
GEAUGA SURGICAL ASSOCIATES INC
Active
Other names
Joseph DiBlasio MD
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ANTHONY DIBLASIO MD (OWNER GENERAL SURGEON)
(440) 286-2121
Entity
Organization
Contact information
Practice address
13170 RAVENNA ROAD, SUITE 202, CHARDON, OH 44024
(440) 286-2121
(440) 286-9204
Mailing address
13170 RAVENNA ROAD, SUITE 202, CHARDON, OH 44024
(440) 286-2121
(440) 286-9204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2266640
—
OH
Enumeration date
09/29/2006
Last updated
07/06/2010
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