Organization
PARTNERS PHYSICIAN GROUP
Active
Other names
Cardiac, Thoracic & Vascular Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BRAMAN DO (CHIEF MEDICAL OFFICER)
(330) 665-8302
Entity
Organization
Contact information
Practice address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 344-1400
(330) 344-0112
Mailing address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 344-1400
(330) 344-0112
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
12/01/2011
Last updated
06/22/2015
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