Individual
JUDAH R LINDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12000 MCCRACKEN RD, SUITE 357, GARFIELD HEIGHTS, OH 44125-2964
(216) 332-0920
(216) 332-0950
Mailing address
12000 MCCRACKEN RD, SUITE 357, GARFIELD HEIGHTS, OH 44125-2964
(216) 332-0920
(216) 332-0950
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-080644
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000489132
ANTHEM BLUE SHIELD
OH
01
—
203990467027
CARESOURCE
OH
05
—
2589471
—
OH
01
—
352040
WELLCARE
OH
01
—
736527
BUCKEYE
OH
01
—
R80644
SUMMACARE
OH
Enumeration date
10/20/2005
Last updated
11/20/2015
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