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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