Organization
GLO DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZA DAOUD MD (SOLE OWNER/MEMBER)
(216) 351-7700
Entity
Organization
Contact information
Practice address
5500 BROADVIEW RD, PARMA, OH 44134-1605
(216) 351-7700
(216) 351-9651
Mailing address
5500 BROADVIEW RD, PARMA, OH 44134-1605
(216) 351-7700
(216) 351-9651
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35094454
OH
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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