Individual
DR. GERALD JOSEPH DAGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5404 NORTHFIELD ROAD, MAPLE HTS, OH 44137
(216) 587-6620
(216) 587-6623
Mailing address
5404 NORTHFIELD ROAD, MAPLE HTS, OH 44137
(216) 587-6620
(216) 587-6623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3716T397
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0632613
—
OH
01
—
341617718026
CARE SOURCE
OH
01
—
5369140001
DME
—
Enumeration date
08/14/2006
Last updated
07/12/2013
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