Organization
NEW LIFE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFIF MOUSA MD (OWNER)
(216) 577-8860
Entity
Organization
Contact information
Practice address
21500 LORAIN RD, FAIRVIEW PARK, OH 44126
(216) 282-1686
Mailing address
21500 LORAIN RD, FAIRVIEW PARK, OH 44126-3302
(216) 282-1686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
35.133846
OH
261QM2500X
Medical Specialty Clinic/Center
Primary
35.133846
OH
261QP2300X
Primary Care Clinic/Center
35.133846
OH
Other
Enumeration date
05/17/2018
Last updated
06/04/2018
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