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Individual

JAMES GAVACS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7330
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HTS, OH 44122-5203
(216) 286-6260
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67-000012
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000232163
UNISON
OH
01
000000515965
ANTHEM
OH
01
0583328
BCMH
OH
05
2749771
OH
01
414974
WELLCARE MEDICAID
OH
01
430037565
RAILROAD MEDICARE
OH
01
7578022
AETNA
OH
01
P00420564
MEDICARE RAILROAD
OH
Enumeration date
09/26/2006
Last updated
05/16/2008
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