Organization
UNIVERSITY OTOLARYNGOLOGY-HEAD & NECK SURGERY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CONTI (PRACTICE ADMINISTRATOR)
(216) 844-3002
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1736
(216) 844-3002
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR - MSC9152, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0597037
—
OH
01
—
CA7601
RAILROAD MEDICARE
OH
Enumeration date
06/04/2006
Last updated
04/20/2008
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