Individual
MARTHA S WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35-063728
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028044
ANTHEM
OH
01
—
000000221056
UNISON
OH
01
—
000000526188
ANTHEM
OH
01
—
0015062200003
PA MEDICAID
PA
01
—
0644539
AETNA
OH
01
—
0892575
BCMH
OH
05
—
0892575
—
OH
01
—
364149
WELLCARE
OH
Enumeration date
07/21/2006
Last updated
07/06/2011
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