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Organization
PARTNERS PHYSICIAN GROUP
Active
Organization
PARTNERS PHYSICIAN GROUP
Active
Other names
Akron General Family Practice of Hudson
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J BRAMAN MD (CHIEF MEDICAL OFFICER)
(330) 665-8302
Entity
Organization
Contact information
Practice address
1320 CORPORATE DR, #100, HUDSON, OH 44236-4442
(330) 344-7650
(330) 344-3038
Mailing address
1320 CORPORATE DR, #100, HUDSON, OH 44236-4442
(330) 344-7650
(330) 344-3038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
07/03/2014
Last updated
07/03/2014
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