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Organization

UNIVERSITY HOSPITALS MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY MCELROY (CONTROLLER)
(216) 383-6756
Entity
Organization

Contact information

Practice address
3909 ORANGE PL, BEACHWOOD, OH 44122-4478
(216) 844-1000
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
OH
207VX0000X
Obstetrics Physician
Primary
OH
2085R0202X
Diagnostic Radiology Physician
OH
208D00000X
General Practice Physician
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2691903
OH
Enumeration date
06/07/2010
Last updated
06/07/2010
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