Individual
RICHARD A JOSEPHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-3800
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35056766J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225064
UNISON
OH
01
—
000000527683
ANTHEM
OH
05
—
0711064
—
OH
01
—
414984
WELLCARE
OH
01
—
4308542
AETNA
OH
01
—
729305
BUCKEYE
OH
01
—
P00406095
RAILROAD MEDICARE
OH
Enumeration date
06/20/2005
Last updated
11/30/2020
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