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Organization
TESSY MERIDORES MD INC
Active
Organization
TESSY MERIDORES MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESSY MERIDORES MD (PRESIDENT)
(216) 252-2950
Entity
Organization
Contact information
Practice address
18099 LORAIN AVE, STE 316, CLEVELAND, OH 44111-5610
(216) 252-2950
(216) 251-8760
Mailing address
PO BOX 451198, WESTLAKE, OH 44145-0630
(216) 252-2950
(216) 251-8760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35065853
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180745
—
OH
05
—
2857298
—
OH
Enumeration date
09/16/2005
Last updated
08/28/2014
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