Individual
SAMUEL JACOB VAISELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2585 LARCHMONT RD, BEACHWOOD, OH 44122-1515
(786) 681-8434
Mailing address
2585 LARCHMONT RD, BEACHWOOD, OH 44122-1515
(786) 681-8434
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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