Individual
BENJAMIN MEDALION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7874
Mailing address
20800 HARVARD RD, 2ND FLOOR, HIGHLAND HILLS, OH 44122-7251
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.125220
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
80.000012-MD
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088241
—
OH
01
—
35.125220
LICENSE
OH
Enumeration date
07/17/2013
Last updated
01/06/2016
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