Organization
EATING DISORDER MEDICAL SPECIALISTS OF CLEVELAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACHELLE GIORDON (CREDENTIALING)
(330) 723-2111
Entity
Organization
Contact information
Practice address
25550 CHAGRIN BLVD, 207, BEACHWOOD, OH 44122-5638
(216) 765-0500
(216) 765-0521
Mailing address
25550 CHAGRIN BLVD, 207, BEACHWOOD, OH 44122-5638
(216) 765-0500
(216) 765-0521
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35083837
OH
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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