Organization
WESTSIDE HEMATOLOGY ONCOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARWAN MASSOUH MD (PRESIDENT)
(440) 808-6500
Entity
Organization
Contact information
Practice address
29101 HEALTH CAMPUS DR, STE 260, WESTLAKE, OH 44145-5266
(440) 808-6500
(440) 808-8865
Mailing address
29101 HEALTH CAMPUS DR, STE 260, WESTLAKE, OH 44145-5266
(440) 808-6500
(440) 808-8865
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35056179M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212199
ANTHEM
OH
05
—
0848382
—
OH
Enumeration date
08/24/2006
Last updated
08/22/2020
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