Organization
CASE WESTERN RESERVE UNIVERSITY
Active
Other names
Louis Stokes VA Hosptial
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BON-JEONG KOO M.D. (FELLOW)
(216) 791-3800
Entity
Organization
Contact information
Practice address
10701 EAST BLVD, K-216, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 707-5972
Mailing address
1300 W 9TH ST, APT 807, CLEVELAND, OH 44113-1031
(718) 813-9422
(216) 707-5972
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
35.087275
OH
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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