Organization
GORDON & MANGAN TRAVELERS CLINIC, LLC
Active
Other names
Passport Health Northern Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN KILBANE GORDON R.N. (CO-OWNER, EXECUTIVE DIRECTOR & CLIN)
(216) 295-9400
Entity
Organization
Contact information
Practice address
21825 CHAGRIN BLVD., SUITE 345, BEACHWOOD, OH 44122-5352
(216) 295-9400
(216) 283-8120
Mailing address
21825 CHAGRIN BLVD., SUITE 345, BEACHWOOD, OH 44122-5352
(216) 295-9400
(216) 283-8120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN140601
OH
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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