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Organization
SAM N GHOUBRIAL MD INC
Active
Organization
SAM N GHOUBRIAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL PELFREY (OFFICE MANAGER)
(330) 331-7207
Entity
Organization
Contact information
Practice address
195 WADSWORTH RD., SUITE 402, WADSWORTH, OH 44281
(330) 331-7207
(330) 331-7587
Mailing address
3535 GRANGER RD, AKRON, OH 44333-1538
(330) 331-7207
(330) 331-7587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
35067926
OH
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2683298
—
OH
Enumeration date
10/19/2006
Last updated
02/06/2023
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