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Individual

DR. JILL GLASSBERG AZOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(219) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2008003298
MO
208000000X
Pediatrics Physician
Primary
35-099079
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2008003298
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0064327
OH
Enumeration date
05/10/2007
Last updated
09/11/2012
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