Organization
CHARLES O. MBANEFO, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES O. MBANEFO MD (OWNER)
(216) 368-5687
Entity
Organization
Contact information
Practice address
11201 SHAKER BLVD, SUITE 130, CLEVELAND, OH 44104-3869
(216) 368-5687
(216) 368-5623
Mailing address
11201 SHAKER BLVD, SUITE 130, CLEVELAND, OH 44104-3869
(216) 368-5687
(216) 368-5623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-05-1577M
OH
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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