Individual
ROBERT PUJOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-7330
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34007258P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221237
UNISON
OH
01
—
0583328
BCMH
OH
05
—
2389820
—
OH
01
—
415023
WELLCARE MEDICAID
OH
01
—
742558
BUCKEYE MEDICAID
OH
01
—
7444436
AETNA
OH
01
—
P00949834
MEDICAID RAILROAD
OH
Enumeration date
03/17/2006
Last updated
09/12/2011
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