Individual
DR. REVITAL LEAH GORODESKI BASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF ENDOCRINOLOGY CLEVELAND CLINIC, 9500 EUCLID AVENUE, CLEVELAND, OH 44195-0001
(216) 445-3784
Mailing address
DEPARTMENT OF ENDOCRINOLOGY CLEVELAND CLINIC, 9500 EUCLID AVENUE, CLEVELAND, OH 44195-0001
(216) 445-3784
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35.091752
OH
390200000X
Student in an Organized Health Care Education/Training Program
35091030
OH
Other
Enumeration date
07/16/2008
Last updated
05/21/2010
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