Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (CONTROLLER)
(216) 383-6756
Entity
Organization
Contact information
Practice address
960 CLAGUE RD, SUITE 2300, WESTLAKE, OH 44145-1582
(216) 383-6613
Mailing address
27401 EUCLID AVENUE, 3RD FLOOR, EUCLID, OH 44117
(216) 383-6613
(216) 201-4182
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
06/07/2010
Last updated
06/07/2010
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