Organization
HEALTHSOURCE OF BROOKLYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIAR NEJAD D.C. (PRESIDENT)
(440) 967-4226
Entity
Organization
Contact information
Practice address
4370 RIDGE RD, BROOKLYN, OH 44144-2717
(440) 967-4226
(440) 967-0296
Mailing address
PO BOX 740, VERMILION, OH 44089-0740
(440) 967-4226
(440) 967-0296
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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