Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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ENT REALTY CORP

Surgery Yellow Pages

Fort Wayne, Indiana

Provider NPI: 1588640353

Organization Information:
Organization Name:  ENT REALTY CORP


Practice Location:
7900 W JEFFERSON BLVD SUITE 102 FORT WAYNE, IN 46804 US
Tel: 260-432-4368  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical

Other Provider Identifiers:

IssuerNumberStateType
200138850IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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