Organization
CLEVELAND COMMUNITY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MCLONEY M.D. (PRESIDENT)
(440) 816-1120
Entity
Organization
Contact information
Practice address
398 W BAGLEY RD, SUITE 1, BEREA, OH 44017-1369
(440) 816-1120
(440) 816-1022
Mailing address
PO BOX 771103, LAKEWOOD, OH 44107-0047
(216) 472-2730
(216) 472-2740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3088699
—
OH
Enumeration date
04/30/2010
Last updated
02/15/2013
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