Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 34.007878 | OH |
NPI | 1104891605 |
---|---|
Provider Name | Dr. James C Cassandra |
First Address | Westerville, OH 43081-1397 |
Second Address | Grove City, OH 43123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 19/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2794445 | (05) | OH |