Organization
SAMUEL GETACHEW MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA GOCHER (MEDICAL BILLER)
(440) 244-1677
Entity
Organization
Contact information
Practice address
2152 REID AVE, LORAIN, OH 44052-4722
(440) 244-1677
(440) 244-1679
Mailing address
2152 REID AVE, LORAIN, OH 44052-4722
(440) 244-1677
(440) 244-1679
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35059976
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0838259
—
OH
Enumeration date
09/23/2010
Last updated
09/23/2010
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