Individual
ILYSSA OKRENT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 986-1309
(216) 986-1191
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.099083
OH
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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