Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 34.012599 | OH |
NPI | 1154696508 |
---|---|
Provider Name | Dr. Alanna Foglietti Fostyk |
First Address | Warrensville Heights, OH 44122-6805 |
Second Address | Beachwood, OH 44122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2012 |
Last Update Date | 29/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0233346 | (05) | OH |