Individual
MATTHEW NOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15105 ST CLAIR AVE, CLEVELAND, OH 44110-1111
(216) 800-8020
(216) 830-7652
Mailing address
15105 ST CLAIR AVE, CLEVELAND, OH 44110-1111
(216) 800-8020
(216) 830-7652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.014694
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
04/27/2016
Last updated
10/29/2020
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