Individual
MR. JAMES STEVEN FORMOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
7985 BROADVIEW RD, BROADVIEW HEIGHTS, OH 44147-1201
(440) 526-3700
(440) 526-3701
Mailing address
7985 BROADVIEW RD, BROADVIEW HEIGHTS, OH 44147-1201
(440) 526-3700
(440) 526-3701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2769
OH
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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