Organization
BEACON PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L WURST MD (PHYSICIAN/OWNER)
(216) 224-3052
Entity
Organization
Contact information
Practice address
3009 SMITH RD STE 350, FAIRLAWN, OH 44333-2670
(330) 665-4488
(330) 665-4489
Mailing address
3009 SMITH RD STE 350, FAIRLAWN, OH 44333-2670
(330) 665-4488
(330) 665-4489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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