Organization
INGRAM CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BUCARAT (CEO)
(401) 374-9350
Entity
Organization
Contact information
Practice address
600 SUPERIOR AVE E, CLEVELAND, OH 44114-2614
(401) 374-9350
Mailing address
600 SUPERIOR AVE E, CLEVELAND, OH 44114-2614
(401) 374-9350
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
80451165
OH
Other
Enumeration date
08/03/2012
Last updated
09/18/2012
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