Organization
CORTLAND FAMILY MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST LEE FOSTER D.O. (PRESIDENT)
(330) 638-6121
Entity
Organization
Contact information
Practice address
151 S HIGH ST, CORTLAND, OH 44410-1450
(330) 638-6121
Mailing address
151 S HIGH ST, CORTLAND, OH 44410-1450
(330) 638-6121
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1369
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2882500
—
OH
Enumeration date
12/04/2006
Last updated
05/27/2010
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