Organization
FAITH MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL M BARRY M.D. (VICE PRESIDENT)
(216) 791-0017
Entity
Organization
Contact information
Practice address
11201 SHAKER BLVD, 240, CLEVELAND, OH 44104-3869
(216) 791-0017
(216) 791-0021
Mailing address
11201 SHAKER BLVD, 240, CLEVELAND, OH 44104-3869
(216) 791-0017
(216) 791-0021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35061601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185839
—
OH
Enumeration date
09/15/2005
Last updated
11/01/2011
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