Individual
DR. BENJAMIN JACOB TISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2466
Mailing address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2466
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.010631
OH
Other
Enumeration date
03/07/2011
Last updated
12/04/2018
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