Individual
DR. MARY GHALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
THE CLEVELAND CLINIC FOUNDATION, 9500 EUCLID AVENUE ,E30, CLEVELAND, OH 44195-0001
(216) 445-2115
Mailing address
35 SEVERANCE CIR, APT #903, CLEVELAND HEIGHTS, OH 44118-1523
(216) 382-2713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-094223
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005385
—
OH
01
—
4282741
MEDICARE
OH
Enumeration date
04/14/2008
Last updated
03/31/2010
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