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NPI Code Detail

MEDICARE: ERIC J BETKA

MEDICARE: ERIC J BETKA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician50.001576OH
2363AM0700XMedical Physician AssistantOH-1576OH

General Provider Information

NPI Number : 1952390551
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC J BETKA
Provider Business Mailing Address
First Line : 8701 DARROW RD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-2105
Country : US
Telephone Number : 330-888-4000
Fax Number : 440-774-5707
Provider Business Practice Location Address
First Line : 8701 DARROW RD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-2105
Country : US
Telephone Number : 330-888-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 02/28/2023

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Directions to “ ERIC J BETKA ” Practice Location

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