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Organization
ENDOCRINE & DIABETES CARE CENTER INC
Active
Organization
ENDOCRINE & DIABETES CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A BEHAM M.D. (PRESIDENT)
(419) 537-5111
Entity
Organization
Contact information
Practice address
2100 W CENTRAL AVE, SUITE 100, TOLEDO, OH 43606-3834
(419) 537-5111
(419) 537-5131
Mailing address
2100 W CENTRAL AVE, SUITE 100, TOLEDO, OH 43606-3834
(419) 537-5111
(419) 537-5131
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203474
ANTHEM
OH
05
—
2267452
—
OH
01
—
CH8143
MEDICARE RR NUMBER
OH
Enumeration date
10/12/2006
Last updated
10/22/2019
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