Organization
PEDIATRIC PARTNERS OF CLEVELAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WORTHINGTON M.D. (PRESIDENT)
(216) 514-0100
Entity
Organization
Contact information
Practice address
23250 CHAGRIN BLVD, SUITE #130, BEACHWOOD, OH 44122-5470
(216) 514-0100
(216) 514-0171
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165155
—
OH
Enumeration date
08/09/2005
Last updated
07/21/2022
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