Organization
JAMAL AZEM, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMAL AZEM (PRESIDENT)
(440) 269-8020
Entity
Organization
Contact information
Practice address
36100 EUCLID AVE, SUITE 330A, WILLOUGHBY, OH 44094-4456
(440) 269-8020
(440) 269-1646
Mailing address
36100 EUCLID AVE, SUITE 330A, WILLOUGHBY, OH 44094-4456
(440) 269-8020
(440) 269-1646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35059071A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2928167
—
OH
Enumeration date
03/06/2007
Last updated
04/08/2011
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