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Organization

PEDIATRIC PARTNERS OF CLEVELAND, INC.

Active
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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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