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Individual

IOAN FLORIN SUSOIU TCACIUC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110-2602
(216) 383-2222
(216) 298-0241
Mailing address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110-2602
(216) 383-2222
(216) 298-0241

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-092905
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35-092905
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2962254
OH
Enumeration date
06/22/2009
Last updated
06/11/2019
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