Organization
HARLAN S. WAID, JR., M.D., INC.
Active
Organization
HARLAN S. WAID, JR., M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARLAN SAMPLE WAID JR. M.D. (PRESIDENT)
(440) 576-9111
Entity
Organization
Contact information
Practice address
125 S CHESTNUT ST, JEFFERSON, OH 44047-1312
(440) 576-9111
Mailing address
125 S CHESTNUT ST, JEFFERSON, OH 44047-1312
(440) 576-9111
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
35 04 7304
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2879649
—
OH
Enumeration date
11/15/2006
Last updated
01/13/2009
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