Individual
MR. MARWAN MASSOUH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29101 HEALTH CAMPUS DR, SUITE 260, WESTLAKE, OH 44145-5270
(440) 808-6500
(440) 808-8865
Mailing address
29101 HEALTH CAMPUS DR, SUITE 260, WESTLAKE, OH 44145-5270
(440) 808-6500
(440) 808-8865
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35056179
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212199
ANTHEM
OH
05
—
0848382
—
OH
Enumeration date
12/13/2005
Last updated
07/08/2007
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