Provider Demographics
NPI:1629233192
Name:EURO OBGYN, INC
Entity Type:Organization
Organization Name:EURO OBGYN, INC
Other - Org Name:FREDERICK U. ERUO, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:U
Authorized Official - Last Name:ERUO
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:330-438-1701
Mailing Address - Street 1:2525 13TH ST NW
Mailing Address - Street 2:102
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-3118
Mailing Address - Country:US
Mailing Address - Phone:330-438-1701
Mailing Address - Fax:330-438-1704
Practice Address - Street 1:2525 13TH ST NW
Practice Address - Street 2:102
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-3118
Practice Address - Country:US
Practice Address - Phone:330-438-1701
Practice Address - Fax:330-438-1704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35084311207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2491889Medicaid
OHBE8481373OtherDEA
OHI08072Medicare UPIN