Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VP OF FINANCE)
(216) 383-6616
Entity
Organization
Contact information
Practice address
5885 LANDERBROOK DR, SUITE 100, MAYFIELD HTS, OH 44124-4045
(440) 460-1616
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
OH
208600000X
Surgery Physician
Primary
—
OH
208800000X
Urology Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
11/03/2010
Last updated
11/03/2010
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