Individual
DR. RICHARD R ASSAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 CROCKER RD, SUITE 150, WESTLAKE, OH 44145-6966
(440) 871-0410
(440) 235-8440
Mailing address
2001 CROCKER RD, SUITE 150, WESTLAKE, OH 44145-6966
(440) 871-0410
(440) 235-8440
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35064785
OH
207NP0225X
Pediatric Dermatology Physician
35064785
OH
207NS0135X
Procedural Dermatology Physician
35064785
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141688
ANTHEM BC/BS
OH
01
—
070017680
RAILROAD CARE
OH
01
—
1669421392
ANTHEM BC/BS
OH
05
—
2116230
—
OH
01
—
413025
WELLCARE
OH
Enumeration date
05/09/2006
Last updated
06/16/2021
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