Organization
DOUGLAS MOINUDDIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MOINUDDIN (EMPLOYEE)
(216) 533-4449
Entity
Organization
Contact information
Practice address
28360 CENTER RIDGE RD APT 229, WESTLAKE, OH 44145-6797
(216) 533-4449
Mailing address
PO BOX 451452, WESTLAKE, OH 44145-0639
(216) 533-4449
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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