Organization
BORIS VINOGRADSKY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS VINOGRADSKY M.D. (PRESIDENT)
(216) 595-9600
Entity
Organization
Contact information
Practice address
36100 EUCLID AVE, WILLOUGHBY, OH 44094-4456
(440) 953-8055
(440) 953-0242
Mailing address
PO BOX 22958, CLEVELAND, OH 44122-0958
(216) 595-9600
(216) 595-9601
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224499
—
OH
Enumeration date
04/20/2010
Last updated
04/20/2010
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