Individual
VINCENT DEGEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13207 RAVENNA RD, UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER, CHARDON, OH 44024-7032
(440) 285-6000
Mailing address
PO BOX 526, GEAUGA ANESTHESIA INC., NOVELTY, OH 44072-0526
(440) 287-6025
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.123138
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2010
Last updated
05/16/2014
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