Provider Demographics
NPI:1235328659
Name:NORMAN T. SESE, M.D. INC.
Entity Type:Organization
Organization Name:NORMAN T. SESE, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-985-1174
Mailing Address - Street 1:6155 PARK SQ STE 6
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-4145
Mailing Address - Country:US
Mailing Address - Phone:440-985-1174
Mailing Address - Fax:440-985-1175
Practice Address - Street 1:6155 PARK SQ STE 6
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-4145
Practice Address - Country:US
Practice Address - Phone:440-985-1174
Practice Address - Fax:440-985-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-072844174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9342241Medicare PIN