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Organization
PARTNERS PHYSICIAN GROUP
Active
Organization
PARTNERS PHYSICIAN GROUP
Active
Other names
Richfield Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAILLARD (DIRECTOR, FINANCE)
(330) 344-6095
Entity
Organization
Contact information
Practice address
4336 BRECKSVILLE RD, RICHFIELD, OH 44286-9195
(330) 659-0641
(330) 659-0649
Mailing address
4336 BRECKSVILLE RD, RICHFIELD, OH 44286-9195
(330) 659-0641
(330) 659-0649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
207R00000X
Internal Medicine Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP NPI GROUP #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
07/26/2010
Last updated
10/21/2010
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