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Organization

JAMES P. BANGAYAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KERRY MADEJ MA (OFFICE MANAGER)
(440) 842-6781
Entity
Organization

Contact information

Practice address
6681 RIDGE RD, STE 302, PARMA, OH 44129-5713
(440) 842-6781
(440) 842-6797
Mailing address
6681 RIDGE RD, SUITE 302, PARMA, OH 44129-5713
(440) 842-6781
(440) 842-6797

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3437
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2686311
OH
Enumeration date
08/31/2006
Last updated
11/22/2010
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