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Northeast Ohio Practitioner LLC

Internal Medicine, Geriatric Medicine in Parma, OH. Organization (NPI-2).

NPI number1831681014
StatusActive
Last updated in NPPESMar 13, 2019

Details

NPI
1831681014
Entity type
Organization (NPI-2)
Legal business name
Northeast Ohio Practitioner LLC
Organization subpart
No
Enumeration date
Jun 4, 2018
Last updated
Mar 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0300X Internal Medicine, Geriatric Medicine4171215OHYes

Practice location

6681 Ridge Rd Ste 300
Parma, OH 44129-5705

Phone 440-842-8675 · Fax 440-842-1299

Mailing address

6681 Ridge Rd Ste 300
Parma, OH 44129-5705

Phone 440-842-8675 · Fax 440-842-1299

Authorized official

Kourosh Saghafi
President
2168428675

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