Individual
ABRAHAM O PEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 E BROAD ST, ELYRIA, OH 44035-6306
(440) 365-2600
(440) 366-5543
Mailing address
8055 MAYFIELD RD, STE 105, CHESTERLAND, OH 44026-2447
(440) 214-8027
(216) 201-8173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35076618
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2275247
—
OH
05
—
3025372
—
OH
Enumeration date
05/07/2007
Last updated
12/23/2020
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