Healthcare Provider Details

I. General information

NPI: 1851385413
Provider Name (Legal Business Name): TAMAS JUHASZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 LEXINGTON AVE
MANSFIELD OH
44907-1906
US

IV. Provider business mailing address

630 EDGEWOOD RD
MANSFIELD OH
44907-1527
US

V. Phone/Fax

Practice location:
  • Phone: 419-756-5133
  • Fax: 419-774-9707
Mailing address:
  • Phone: 419-756-5133
  • Fax: 419-774-9707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35078937
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: