Organization
CLEVELAND CENTER FOR JOINT RECONSTRUCTION, INC
Active
Organization
CLEVELAND CENTER FOR JOINT RECONSTRUCTION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD STULBERG MD (AUTHORIZED REPRESENTATIVE)
(216) 363-2096
Entity
Organization
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2096
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0870884
—
OH
01
—
105758
KAISER PERMANENTE
OH
01
—
128086800
DEPARTMENT OF LABOR
OH
Enumeration date
11/26/2007
Last updated
05/21/2008
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