Organization
BARRY A KOBLENTZ DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ALAN KOBLENTZ DPM (PRESIDENT)
(216) 291-1515
Entity
Organization
Contact information
Practice address
5035 MAYFIELD RD, 215, LYNDHURST, OH 44124-2688
(216) 291-1515
Mailing address
5035 MAYFIELD RD, 215, LYNDHURST, OH 44124-2688
(216) 291-1515
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2743311
—
OH
Enumeration date
08/12/2006
Last updated
12/10/2007
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