Individual
JUDITH BLUM MOSENKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3690 ORANGE PL, SUITE 430, BEACHWOOD, OH 44122-4464
(216) 464-5330
(216) 464-5332
Mailing address
3690 ORANGE PL, SUITE 430, BEACHWOOD, OH 44122-4464
(216) 464-5330
(216) 464-5332
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
OH89053
OH
2084P0805X
Geriatric Psychiatry Physician
Primary
OH89053
OH
Other
Enumeration date
08/05/2007
Last updated
07/21/2009
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