Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOI WILLIAMS (SUPV)
(440) 214-8025
Entity
Organization
Contact information
Practice address
5778 DARROW RD, SUITE 103, HUDSON, OH 44236-3808
(555) 555-5555
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6296
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
04/21/2010
Last updated
06/15/2022
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