Organization
RIDGEPARK FAMILY PRACTICE
Active
Parent organization
RIDGEPARK FAMILY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIDGEPARK FAMILY PRACTICE
Authorized official
DR. DIANE MARIE KUSHNAR DO (PRESIDENT/OWNER)
(216) 398-5535
Entity
Organization
Contact information
Practice address
5500 RIDGE ROAD, SUITE 120, PARMA, OH 44129-2367
(216) 398-5535
(440) 882-3304
Mailing address
5500 RIDGE ROAD, SUITE 120, PARMA, OH 44129
(216) 398-5535
(440) 882-3304
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2651938
—
OH
Enumeration date
01/22/2008
Last updated
02/17/2012
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