Individual
TIBERIU S. AVRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3020 N MCCORD RD STE 201A, TOLEDO, OH 43615-1744
(419) 517-7727
(419) 517-5036
Mailing address
153 FOREST GLEN DR, HOLLAND, OH 43528-9207
(419) 450-0045
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01061540A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
35087285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-572-840-7
ECFMG
—
05
—
2729202
—
OH
Enumeration date
02/28/2006
Last updated
11/13/2020
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