Individual
MR. ABDALLA EZZIDDIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6770 MAYFIELD RD STE 333, MAYFIELD HTS, OH 44124
(440) 461-0038
(440) 461-8820
Mailing address
6770 MAYFIELD RD STE 333, MAYFIELD HTS, OH 44124
(440) 461-0038
(440) 461-8820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036829
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233732
—
OH
Enumeration date
05/01/2006
Last updated
07/08/2007
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