Organization
CLEVELAND VASCULAR SURG ASOC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASEM DROUBI M.D. (OWNER)
(440) 356-1009
Entity
Organization
Contact information
Practice address
20997 LORAIN RD, FAIRVIEW PARK, OH 44126-2030
(440) 356-1009
Mailing address
20997 LORAIN RD, FAIRVIEW PARK, OH 44126-2030
(440) 356-1009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35040353
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0963533
—
OH
Enumeration date
09/18/2007
Last updated
09/25/2007
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