Organization
PARTNERS PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BRAMAN DO (CHIEF MEDICAL OFFICER)
(330) 665-8302
Entity
Organization
Contact information
Practice address
4302 ALLEN RD, #140, STOW, OH 44224-1070
(330) 665-8270
(330) 344-1004
Mailing address
4302 ALLEN RD, #140, STOW, OH 44224-1070
(330) 665-8270
(330) 344-1004
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
OH
208VP0000X
Pain Medicine Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
04/11/2008
Last updated
11/10/2014
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