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Organization
ROGELIA B. MEDIDAS M.D., INC.
Active
Organization
ROGELIA B. MEDIDAS M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGELIA BULILAN MEDIDAS M.D., (PRESIDENT)
(216) 749-4733
Entity
Organization
Contact information
Practice address
7003 MEMPHIS AVE, SUITE A, BROOKLYN, OH 44144-2216
(216) 749-4733
(216) 749-4734
Mailing address
7003 MEMPHIS AVE, SUITE A, BROOKLYN, OH 44144-2216
(216) 749-4733
(216) 749-4734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.034992
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216420
—
OH
Enumeration date
06/16/2012
Last updated
06/16/2012
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