Individual
JOSEPHINE KAM TAI DERMAWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.B.S., PH.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
(216) 445-9444
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
(216) 445-9444
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
57027468
OH
Other
Enumeration date
03/24/2016
Last updated
10/09/2020
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