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Individual

DR. JAMES REGIS COLEMAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6125 S BROADWAY, LORAIN, OH 44053-3820
(440) 233-8181
(440) 233-8182
Mailing address
PO BOX 901681, CLEVELAND, OH 44190-1681
(440) 233-8181
(440) 233-8182

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35081094C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2332381
OH
01
P00929248
MEDICARE RR
OH
Enumeration date
06/22/2005
Last updated
07/13/2011
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