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Individual

ALI S HALABI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5316 BROADWAY AVE, CLEVELAND, OH 44127-1507
(216) 883-1234
(216) 883-7706
Mailing address
PO BOX 41194, CLEVELAND, OH 44141-0194
(216) 883-1234
(216) 883-7706

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35045146N
OH
208D00000X
General Practice Physician
35045146H
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0448779
OH
Enumeration date
10/07/2005
Last updated
02/29/2008
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