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Organization

FATIMA M POZUELO MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA DEFATIMA POZUELO MD (OWNER)
(440) 442-4452
Entity
Organization

Contact information

Practice address
6801 MAYFIELD RD, SUITE 537, MAYFIELD HEIGHTS, OH 44124-2270
(440) 442-4452
(440) 442-0571
Mailing address
PO BOX 45465, WESTLAKE, OH 44145-0465
(440) 808-3700
(440) 808-3675

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
363A00000X
Physician Assistant
50000722
OH
363LA2200X
Adult Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD3839
RAILROAD CARE
OH
Enumeration date
09/16/2006
Last updated
11/08/2012
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