Tudico, Marina Gritsik

Tudico, Marina Gritsik is an individual health care provider with primary practice located at 6780 Mayfield Rd / Hcs1-725 , Mayfield Heights OH 44124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Tudico, Marina Gritsik can be contacted via phone (440) 312-6100.

Contact Information

Primary practice address
6780 Mayfield Rd / Hcs1-725 Mayfield Heights OH 44124
Phone: (440) 312-6100
Fax: (440) 312-0454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002279 Connecticut

Profile Details

NPI number 1487884896
LBN Legal business name Tudico, Marina Gritsik
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Aug 19th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487884896 NPPES
Connecticut Other 3V2764 HEALTHNET
Connecticut Other 200279 HEALTHNET

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