Organization
ACCESSNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DVORAK CNP (OWNER)
(330) 221-5494
Entity
Organization
Contact information
Practice address
5807 BRIDGE AVE, CLEVELAND, OH 44102-3114
(330) 221-5494
Mailing address
5807 BRIDGE AVE, CLEVELAND, OH 44102-3114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/26/2017
Last updated
02/15/2023
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