is a Pediatric Allergy/immunology in Cleveland, Ohio. practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for is 1851558944. The last update date is .
's current location address is 9500 Euclid Ave # R3, Cleveland, Ohio. You can contact this provider via phone number 2164446340 and fax number 2164425975. The mailing address for is 9500 Euclid Ave # R3, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 9500 Euclid Ave # R3, Cleveland, Ohio |
| Phone Number | 2164446340 |
| Fax Number | 2164425975 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1851558944 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 9500 Euclid Ave # R3 |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441950001 |
| Phone Number | 2164446340 |
| Fax Number | 2164425975 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Allergy/immunology |
|---|---|
| Taxonomy | 2080P0201X |
| Licence No | 91649 |
|
Definition: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1022409670001 | PA | -- | |
| 2901604 | OH | -- |
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