Individual
ANDREW P GARLISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-6000
(330) 656-5901
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-5911
(330) 656-5901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35070392
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358818
ANTHEM
OH
01
—
102020678-0001
PENNSYLVANIA MEDICAID
OH
05
—
2011049
—
OH
01
—
4174489
MEDICARE
OH
01
—
930121866
RAILROAD MEDICARE
OH
01
—
N379478
WELLCARE
OH
01
—
P00330793
RAILROAD MEDICARE
OH
01
—
P00347156
RAILROAD MEDICARE
OH
Enumeration date
12/14/2005
Last updated
03/22/2016
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