Organization
NORTHEAST OHIO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ABUNYEWA MD (PARTNER)
(216) 761-9617
Entity
Organization
Contact information
Practice address
13944 EUCLID AVE, SUITE 103, CLEVELAND, OH 44112-3832
(216) 761-9617
Mailing address
13944 EUCLID AVE, SUITE 103, CLEVELAND, OH 44112-3832
(216) 761-9617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
11/20/2006
Last updated
08/22/2020
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