Individual
DR. MATTHEW BROUSSARD BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-128084
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/29/2013
Last updated
07/20/2016
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