Individual
DR. DANIEL WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23250 CHAGRIN BLVD, SUITE #130, BEACHWOOD, OH 44122-5470
(216) 514-0100
(216) 514-0171
Mailing address
P O BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35035952
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0304898
—
OH
Enumeration date
08/09/2005
Last updated
01/11/2008
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