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Organization
DABMD
Active
Organization
DABMD
Active
Other names
Med Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA KATZAKIS (OFFICE MANAGER)
(216) 381-9000
Entity
Organization
Contact information
Practice address
13916 CEDAR RD, UNIVERSITY HTS, OH 44118-3204
(216) 381-9000
(216) 381-2151
Mailing address
13916 CEDAR RD, UNIVERSITY HTS, OH 44118-3204
(216) 381-9000
(216) 381-2151
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/10/2009
Last updated
04/23/2010
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