Individual
GEORGE A. VANBUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3941
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35-056164
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221247
UNISON
OH
01
—
000000509186
ANTHEM
OH
05
—
0803410
—
OH
01
—
1021535110001
PA MEDICAID
PA
01
—
160058360
RAILROAD MEDICARE
OH
01
—
364091
WELLCARE
OH
01
—
4301839
AETNA
OH
01
—
738111
BUCKEYE
OH
Enumeration date
07/14/2006
Last updated
08/23/2011
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