Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VP OF FINANCE)
(216) 383-6616
Entity
Organization
Contact information
Practice address
29001 CEDAR RD, SUITE 202, LYNDHURST, OH 44124-4062
(440) 461-7999
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
OH
208200000X
Plastic Surgery Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
12/01/2010
Last updated
12/01/2010
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