Organization
NORTHEAST OHIO NEPHROLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEISA R. BRIDLE CRNP (MANAGER)
(330) 252-0600
Entity
Organization
Contact information
Practice address
411 E MARKET ST, AKRON, OH 44304-1542
(330) 252-0600
(330) 250-9350
Mailing address
411 E MARKET ST, AKRON, OH 44304-1542
(330) 252-0600
(330) 250-9350
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037772
—
OH
01
—
CE1475
RAILROAD MEDICARE
OH
Enumeration date
08/28/2006
Last updated
01/22/2013
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