Organization
PODIATRY ASSOC OF THE OHIO COLLEGE OF PODIATRIC MEDICINE
Active
Other names
Beachwood Foot & Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DEMORE III DPM (OFFICE MANAGER)
(216) 591-1311
Entity
Organization
Contact information
Practice address
3609 PARK EAST DR, NORTH 406, BEACHWOOD, OH 44122-4331
(216) 591-1311
Mailing address
PO BOX 72350, CLEVELAND, OH 44192-0002
(216) 591-1311
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0851823
—
OH
Enumeration date
11/11/2006
Last updated
01/21/2009
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