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Organization

UNIVERSITY HOSPITALS MEDICAL GROUP, INC

Active
Other names
Concord Family Medicine, UHMG Otolaryngology
Organization subpart
No

Provider details

NPI number
Authorized official
JANNA M KENNEDY (DIRECTOR OF MED STAFF SERVICES)
(330) 996-8671
Entity
Organization

Contact information

Practice address
3909 ORANGE PL STE 4100, BEACHWOOD, OH 44122-4480
(440) 732-3923
Mailing address
PO BOX 772044, DETROIT, MI 48277-2044
(440) 732-3923

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
04/12/2007
Last updated
02/23/2021
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