Organization
NORTH COAST NEPHROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED FAWZY M.D (PRESIDENT)
(440) 323-3574
Entity
Organization
Contact information
Practice address
1170 E BROAD ST, SUITE 2, ELYRIA, OH 44035-6351
(440) 323-3574
(440) 323-3552
Mailing address
1170 E BROAD ST, SUITE 2, ELYRIA, OH 44035-6351
(440) 323-3574
(440) 323-3552
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2582610
—
OH
Enumeration date
06/25/2006
Last updated
04/09/2021
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