Individual
LEE W. GEMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 E WESTERN RESERVE RD, POLAND, OH 44514-3358
(330) 726-3204
(330) 729-9316
Mailing address
715 E WESTERN RESERVE RD, POLAND, OH 44514-3358
(330) 726-3204
(330) 729-9316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.095148
OH
207RC0000X
Cardiovascular Disease Physician
35.095148
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35.095148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082244
—
OH
01
—
H148340
MEDICARE PTAN
OH
Enumeration date
05/17/2007
Last updated
12/28/2016
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