Organization
BRECKSVILLE DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGANN POULOS M.D. (PHYSICIAN/OWNER)
(440) 262-5520
Entity
Organization
Contact information
Practice address
8751 BRECKSVILLE RD STE 50, BRECKSVILLE, OH 44141-1950
(440) 262-5520
Mailing address
8751 BRECKSVILLE RD STE 50, BRECKSVILLE, OH 44141-1950
(440) 262-5520
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35120088
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35120088
OHIO MEDICAL LICENSE
OH
Enumeration date
01/10/2013
Last updated
01/10/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us