Organization
LAKEWOOD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED BARRY PEARLMAN D.O. (D.O./OWNER)
(216) 227-1330
Entity
Organization
Contact information
Practice address
14701 DETROIT AVE, SUITE 400, LAKEWOOD, OH 44107-4115
(216) 227-1330
(216) 227-1322
Mailing address
14701 DETROIT AVE, SUITE 400, LAKEWOOD, OH 44107-4115
(216) 227-1330
(216) 227-1322
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34004965
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0834379
—
OH
Enumeration date
10/02/2006
Last updated
07/30/2008
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