Organization
GEAUGA FAMILY PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRADLEY MORITZ M.D. (PARTNER)
(440) 286-6155
Entity
Organization
Contact information
Practice address
13221 RAVENNA RD, SUITE 8, CHARDON, OH 44024-9047
(440) 286-6155
(440) 286-6156
Mailing address
13221 RAVENNA RD, SUITE 8, CHARDON, OH 44024-9047
(440) 286-6155
(440) 286-6156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071985
—
OH
01
—
CG9215
RAILROAD MEDICARE
OH
Enumeration date
12/14/2005
Last updated
04/20/2008
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