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Organization
SUBURBAN INTERNAL MEDICINE SERVICES
Active
Organization
SUBURBAN INTERNAL MEDICINE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN GUPTA MD (DIRECTOR)
(216) 441-3454
Entity
Organization
Contact information
Practice address
4180 WARRENSVILLE CENTER RD, WARRENSVILLE HTS, OH 44122
(216) 491-7380
Mailing address
7500 OLD OAK BLVD, CLEVELAND, OH 44130-3343
(440) 777-6300
(440) 777-2330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722043
—
OH
Enumeration date
08/02/2006
Last updated
02/18/2009
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