# VINCENT J. O'BRIEN JR. MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073667010
- **Authorized official:** VINCENT O'BRIEN MD (PRESIDENT)
- **Authorized official phone:** (216) 529-1440

## Contact information

- **Practice address:** 14601 DETROIT AVE STE 450, LAKEWOOD, OH 44107-4251
- **Practice address phone:** (216) 529-1440
- **Practice address fax:** (216) 529-8432
- **Mailing address:** 14601 DETROIT AVE STE 450, LAKEWOOD, OH 44107-4251
- **Mailing address phone:** (216) 529-1440
- **Mailing address fax:** (216) 529-8432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020