Organization
CARDIOVASCULAR MEDICINE OF CLEVELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASEL Z MOUSSA M.D. (OWNER)
(440) 356-6666
Entity
Organization
Contact information
Practice address
21500 LORAIN RD, FAIRVIEW PARK, OH 44126-3302
(440) 356-6666
(440) 356-6651
Mailing address
PO BOX 450615, WESTLAKE, OH 44145-0611
(440) 356-6666
(440) 356-6651
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-071087
OH
207RI0011X
Interventional Cardiology Physician
35-071087
OH
207UN0901X
Nuclear Cardiology Physician
35-071087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2707495
—
OH
Enumeration date
09/01/2006
Last updated
09/05/2023
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