Organization
RETINA ASSOCIATES OF CLEVELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN LAURITA (ADMINISTRATOR)
(216) 831-4748
Entity
Organization
Contact information
Practice address
15299 BAGLEY RD STE 200, CLEVELAND, OH 44130-4823
(440) 663-0022
Mailing address
3401 ENTERPRISE PKWY STE 300, BEACHWOOD, OH 44122-7340
(216) 831-5700
(216) 831-1959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002593
OH
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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