Organization
CLEVELAND EAR NOSE THROAT AND ALLERGY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERT BROWN M.D. (PRESIDENT, CLEVELAND EAR NOSE THROA)
(216) 662-3711
Entity
Organization
Contact information
Practice address
5400 TRANSPORTATION BLVD, SUITE 8, GARFIELD HEIGHTS, OH 44125-5324
(216) 662-3711
(216) 662-5139
Mailing address
P.O. BOX 72591, CLEVELAND, OH 44192
(216) 662-3711
(216) 662-5139
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115619
—
OH
05
—
0419292
—
OH
05
—
0600415
—
OH
05
—
0675612
—
OH
05
—
0711073
—
OH
05
—
0828886
—
OH
05
—
2145780
—
OH
05
—
2149384
—
OH
05
—
2149393
—
OH
05
—
2149400
—
OH
05
—
2149419
—
OH
01
—
CH5776
MEDICARE RAILROAD
OH
Enumeration date
08/04/2005
Last updated
07/21/2022
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