Individual
ABE GOLDSWORTHY OSBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4415 EUCLID AVE, CLEVELAND, OH 44103-3759
(216) 231-5612
(216) 721-5534
Mailing address
23780 HALBURTON RD, BEACHWOOD, OH 44122-7603
(216) 765-1559
(216) 765-1559
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002695
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2740458
—
OH
01
—
CH5179
RR MEDICARE GROUP
OH
01
—
P00435156
RR MEDICARE #
OH
Enumeration date
10/03/2006
Last updated
02/22/2008
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