Individual
AVIVA L. FAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1117
Mailing address
2422 CLAVER RD, UNIVERSITY HEIGHTS, OH 44118-4631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.093417
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2964654
—
OH
Enumeration date
04/13/2007
Last updated
10/30/2009
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