Organization
NORTHEAST OHIO ANESTHESIA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES V BARRETT D.O. (VICE PRESIDENT)
(330) 602-0767
Entity
Organization
Contact information
Practice address
3755 ORANGE PL, BEACHWOOD, OH 44122-4426
(330) 602-0767
Mailing address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 602-0767
(330) 365-3831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2306338
—
OH
Enumeration date
05/18/2006
Last updated
07/18/2011
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