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JOSHUA J AUGUSTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9500 EUCLID AVE, MAILSTOP Q7, CLEVELAND, OH 44195-0001
(216) 445-4926
(216) 444-9378
Mailing address
9500 EUCLID AVE, MAILSTOP Q7, CLEVELAND, OH 44195-0001
(216) 445-4926
(216) 444-9378

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35-082423
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224449
UNISON
01
000000539415
ANTHEM
05
2480828
OH
01
363327
WELLCARE
01
7022582
AETNA
01
741796
BUCKEYE
01
P00203479
RAILROAD MEDICARE
OH
Enumeration date
07/18/2006
Last updated
01/19/2017
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