Organization
ST. VINCENT CHARITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WISSAM KHOURY D.P.M (RESIDENCY DIRECTOR)
(216) 367-9444
Entity
Organization
Contact information
Practice address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(906) 458-3216
Mailing address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(906) 458-3216
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
59
OH
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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