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Organization
CEI PHYSICIANS PSC, LLC
Active
Organization
CEI PHYSICIANS PSC, LLC
Active
Parent organization
CEI PHYSICIANS PSC, LLC
Other names
Novus Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEI PHYSICIANS PSC, LLC
Authorized official
MONICA COOPER (PROVIDER ENROLLMENT SUPERVISOR)
(636) 200-4393
Entity
Organization
Contact information
Practice address
518 WEST AVE, TALLMADGE, OH 44278-2117
(330) 630-9699
(330) 633-7165
Mailing address
518 WEST AVE, TALLMADGE, OH 44278-2117
(330) 630-9699
(330) 633-7165
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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