Provider Demographics
NPI:1871540989
Name:DLUGOS, BRIAN M (PA-C)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:M
Last Name:DLUGOS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2420 LAKE AVENUE ASHATBULA COUNTY MEDICAL CENTER
Mailing Address - Street 2:DEPARTMENT OF HOSPITAL MEDICINE
Mailing Address - City:ASTHABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004
Mailing Address - Country:US
Mailing Address - Phone:440-997-2262
Mailing Address - Fax:
Practice Address - Street 1:THE CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE
Practice Address - Street 2:DEPARTMENT OF PULMONARY, ALLERGY, CRITICAL CARE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-4082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH50.002623363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant