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Individual

DR. GHASSAN FERRIS HADDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
88 CENTER RD., SUITE 130, CLEVELAND, OH 44146
(440) 232-4455
(440) 232-3147
Mailing address
24701 EUCLID AVE, THIRD FLOOR - BILLING SERVICES, EUCLID, OH 44117-1714
(440) 232-4455
(440) 232-3147

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35079178
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000021198
ANTHEM
01
0007401303
AETNA
01
0407269
UNITED HEALTH CARE
05
2268764
OH
01
25772
QUAL CHOICE
OH
Enumeration date
09/20/2006
Last updated
12/29/2020
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