Organization
JENSAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GASAN NEMR MD (MD/OWNER)
(216) 221-7642
Entity
Organization
Contact information
Practice address
21851 CENTER RIDGE RD STE 107, ROCKY RIVER, OH 44116-3901
(216) 221-7642
Mailing address
21851 CENTER RIDGE RD STE 107, ROCKY RIVER, OH 44116-3901
(216) 221-7642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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