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Physicians Pathology Anatomic Pathology

Provider NPI: 1447279005

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
11100 EUCLID AVE  CLEVELAND, OH 44106-1716 US
Tel: 216-844-7494  Fax: 216-286-6341

Business Mailing Address:
Tel: --  Fax: --

NPI Information:
NPI: 1447279005
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Anatomic Pathology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207ZP0101X





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