Organization
PEDIATRIC PLACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN KRIWINSKY M.D. (PRESIDENT)
(216) 831-7337
Entity
Organization
Contact information
Practice address
3690 ORANGE PL, STE 100, BEACHWOOD, OH 44122-4464
(216) 831-7337
(216) 595-0793
Mailing address
3690 ORANGE PL, STE 100, BEACHWOOD, OH 44122-4464
(216) 831-7337
(216) 595-0793
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2463794
—
OH
Enumeration date
01/09/2007
Last updated
08/22/2020
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