Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 34-126444 | OH |
N | 208200000X | Surgeon | 34-126444 | OH |
N | 208600000X | Surgeon | 34-126444 | OH |
N | 2086S0120X | Pediatric Surgery | 34-126444 | OH |
Y | 208C00000X | Colorectal Surgeon | 34-126444 | OH |
NPI | 1437315363 |
---|---|
Provider Name | Alessandra Concetta Gasior |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43221-2849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 25/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0282575 | (05) | OH |
H640291 | CGS MEDICARE (01) | OH |