Individual
DR. GREGORY X BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26777 LORAIN RD, SUITE 716, NORTH OLMSTED, OH 44070-3200
(440) 777-9200
(440) 777-9288
Mailing address
26777 LORAIN RD, SUITE 716, NORTH OLMSTED, OH 44070-3200
(440) 777-9200
(440) 777-9288
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
35-04-1394-B
OH
2084P0800X
Psychiatry Physician
Primary
35-04-1394-B
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35-04-1394-B
OH
Other
Enumeration date
11/24/2006
Last updated
03/04/2013
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