Organization
MARYMOUNT SPECIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAEL KHOURY M.D. (HEAD OF CARDIOLOGY)
(216) 475-5370
Entity
Organization
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HTS, OH 44125-2914
(216) 587-8867
Mailing address
PO BOX 72083, CLEVELAND, OH 44192-0002
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0509702
—
OH
Enumeration date
01/30/2007
Last updated
08/22/2020
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