Organization
NORTHEAST OHIO CENTER FOR PAIN MANAGEMENT, INC.
Active
Other names
NEOCPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RAY M.D. (PRESIDENT)
(440) 774-7246
Entity
Organization
Contact information
Practice address
60 S PLEASANT ST, SUITE B, OBERLIN, OH 44074-1633
(440) 774-7246
(440) 776-0129
Mailing address
60 S PLEASANT ST, SUITE B, OBERLIN, OH 44074-1633
(440) 774-7246
(440) 776-0129
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
35-066948
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215005
ANTHEM BLUE CROSS BLUE SHIELD
OH
Enumeration date
05/22/2008
Last updated
05/22/2008
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