Organization
GREEN ROAD PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T. LESLIE M.D. (PRESIDENT)
(216) 382-3800
Entity
Organization
Contact information
Practice address
1611 S GREEN RD, SUITE 035, SOUTH EUCLID, OH 44121-4128
(216) 382-3800
(216) 381-5198
Mailing address
1611 S GREEN RD, SUITE 035, SOUTH EUCLID, OH 44121-4128
(216) 382-3800
(216) 381-5198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2129637
—
OH
Enumeration date
11/01/2006
Last updated
08/22/2020
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