Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VICE PRESIDENT OF FINANCE)
(216) 767-8717
Entity
Organization
Contact information
Practice address
158 W MAIN RD, CONNEAUT, OH 44030-2039
(440) 593-0257
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
OH
2085R0202X
Diagnostic Radiology Physician
—
OH
2086S0129X
Vascular Surgery Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
10/12/2009
Last updated
10/25/2010
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