Individual
JUSTIN T RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9075 TOWN CENTRE DR STE 110, BROADVIEW HTS, OH 44147-4046
(440) 526-6630
(440) 526-1487
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(440) 526-6630
(440) 526-1487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-088305
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2680906
—
OH
Enumeration date
07/27/2006
Last updated
11/13/2013
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