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Organization

UNIVERSITY HOSPITALS MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
(216) 383-6480
Entity
Organization

Contact information

Practice address
3909 ORANGE PL, SUITE 2000, BEACHWOOD, OH 44122-4478
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OH
2084N0400X
Neurology Physician
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2691903
OH
Enumeration date
08/02/2011
Last updated
08/02/2011
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