Individual
DR. MATTHEW BADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 986-1313
Mailing address
14523 LAKE AVE, LAKEWOOD, OH 44107-1327
(703) 501-9757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.138348
OH
208000000X
Pediatrics Physician
35.138348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.138348
MEDICAL LICENSE
OH
Enumeration date
04/12/2016
Last updated
07/14/2020
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