Organization
PRIMROSE NEWBORN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA W MADDEN MD (OWNER)
(216) 313-2016
Entity
Organization
Contact information
Practice address
31731 LAKE SHORE BLVD, WILLOWICK, OH 44095-3529
(216) 313-2016
Mailing address
31731 LAKE SHORE BLVD, WILLOWICK, OH 44095-3529
(216) 313-2016
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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