Organization
UNIVERSITY PRIMARY CARE PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE JAWORSKI (OFFICE MANAGER)
(216) 383-6480
Entity
Organization
Contact information
Practice address
950 CLAGUE RD, WESTLAKE, OH 44145-1503
(216) 383-0100
(216) 383-6481
Mailing address
PO BOX 92995, CLEVELAND, OH 44194-2995
(216) 383-6480
(216) 383-6745
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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