E LUKE BOLD

EASTSIDE ENT SPECIALISTS, INC

Dr E LUKE BOLD is a male medical professional, specializing in Otolaryngology. He graduated in 1989 from Case Western Reserve University School Of Medicine.

Contact

EASTSIDE ENT SPECIALISTS, INC

7580 AUBURN RD
SUITE 103
PAINESVILLE
OH
440779616

Tel: 4403521474

E LUKE BOLD Information

Npi 1366412827
Pac Id 5294808473
Professional Enrollment Id I20100421000064
Last Name BOLD
First Name E LUKE
Middle Name
Suffix
Gender M
Credential
Medical School Name CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1989
Primary Specialty OTOLARYNGOLOGY
Secondary Specialty 1 ALLERGY/IMMUNOLOGY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties ALLERGY/IMMUNOLOGY
Organization Legal Name EASTSIDE ENT SPECIALISTS, INC
Group Practice Pac Id 3476626656
Number Of Group Practice Members 10
Line 1 Street Address 7580 AUBURN RD
Line 2 Street Address SUITE 103
Marker Of Address Line 2 Suppression
City PAINESVILLE
State OH
Zip Code 440779616
Phone Number 4403521474
Hospital Affiliation Ccn 1 360098
Hospital Affiliation Lbn 1 LAKE HEALTH
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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