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Organization

ORTHOPAEDIC ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MANUEL A. MARTINEZ M.D. (PRESIDENT)
(440) 892-1440
Entity
Organization

Contact information

Practice address
24723 DETROIT RD, WESTLAKE, OH 44145-2526
(440) 892-1440
(440) 892-4709
Mailing address
24723 DETROIT RD, WESTLAKE, OH 44145-2526
(440) 892-1440
(440) 892-4709

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000024938
ANTHEM OAI GROUP NUMBER
OH
01
000000326929
ANTHEM PT GROUP NUMBER
OH
01
000000326930
ANTHEM GROUP NUMBER OT
OH
05
0429898
OH
Enumeration date
01/27/2006
Last updated
12/07/2010
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