Individual
MRS. GLORIA J KOOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
14243 TRISKETT RD, APT 203K, CLEVELAND, OH 44111-2329
(216) 200-1791
Mailing address
2082 WINDHAM ST NE STE 101, CANTON, OH 44721-2528
(330) 361-0329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086745A
IN
207R00000X
Internal Medicine Physician
Primary
35133932
OH
208M00000X
Hospitalist Physician
01086745A
IN
208M00000X
Hospitalist Physician
A175239
CA
Other
Enumeration date
02/21/2012
Last updated
10/31/2024
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