Individual
DR. STEVEN N BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3609 PARK EAST DR, 207, BEACHWOOD, OH 44122-4331
(216) 360-0456
(216) 360-9449
Mailing address
3609 PARK EAST DR, 207, BEACHWOOD, OH 44122-4331
(216) 360-0456
(216) 360-9449
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35042987B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487236
—
OH
Enumeration date
07/10/2006
Last updated
12/05/2011
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