Organization
HEALTH FIRST PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARINA POLIAKOVA M.D. (PHYSICIAN)
(440) 312-1969
Entity
Organization
Contact information
Practice address
6801 MAYFIELD RD, STE 336, MAYFIELD HTS, OH 44124-2270
(440) 312-1969
Mailing address
9313 LARIMAR DR, WILLOWICK, OH 44095-5249
(216) 862-8063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35077135
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3037449
—
OH
Enumeration date
01/12/2010
Last updated
06/21/2010
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