Organization
NORTHERN OHIO MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA V. LEWIS (BUSINESS MANAGER)
(440) 442-7300
Entity
Organization
Contact information
Practice address
6803 MAYFIELD RD, SUITE 412, MAYFIELD HTS, OH 44124-2271
(440) 442-7300
Mailing address
6803 MAYFIELD RD, SUITE 412, MAYFIELD HTS, OH 44124-2271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0977877
—
OH
05
—
2144718
—
OH
Enumeration date
05/18/2006
Last updated
03/06/2008
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