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Individual

WILLIAM JEROME WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5 SEVERANCE CIR, SUITE 107, CLEVELAND HEIGHTS, OH 44118-1566
(216) 382-4974
(216) 382-4981
Mailing address
5 SEVERANCE CIR, SUITE 107, CLEVELAND HEIGHTS, OH 44118-1566
(216) 382-4974
(216) 382-4981

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044020
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0456171
OH
Enumeration date
08/30/2006
Last updated
07/08/2007
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