Organization
CLEVELAND CLINIC FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASIL MAMALADZE MD (ANESTHESIOLOGIST)
(347) 513-0214
Entity
Organization
Contact information
Practice address
13700 FAIRHILL RD APT 401, CLEVELAND, OH 44120-1275
(347) 513-0214
Mailing address
13700 FAIRHILL RD APT 401, CLEVELAND, OH 44120-1275
(347) 513-0214
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
T441115
PA
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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