Dominic Wai-ho Tam, MD | |
16000 Pearl Rd, # 208, Strongsville, OH 44136-6082 | |
(440) 572-3020 | |
Not Available |
Full Name | Dominic Wai-ho Tam |
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Gender | Male |
Speciality | Dermatology |
Location | 16000 Pearl Rd, Strongsville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598852501 | NPI | - | NPPES |
0426640 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 35043641 (Ohio) | Primary |
Entity Name | Dominic W Tam Md & Rose Cw Tam Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881781003 PECOS PAC ID: 4880861467 Enrollment ID: O20120123000512 |
Mailing Address | Practice Location Address |
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Dominic Wai-ho Tam, MD Po Box 39578, Solon, OH 44139-0578 Ph: (440) 572-3020 | Dominic Wai-ho Tam, MD 16000 Pearl Rd, # 208, Strongsville, OH 44136-6082 Ph: (440) 572-3020 |
Lauren C Karpinski, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16712 Pearl Rd, Strongsville, OH 44136 Phone: 440-238-0360 Fax: 440-238-8835 | |
Dr. Judith Michelle Andreano, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16712 Pearl Rd, Strongsville, OH 44136 Phone: 440-238-0360 Fax: 440-238-8835 | |
Rose Chun Wah Tam, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 16000 Pearl Rd, Strongsville, OH 44136 Phone: 440-572-3020 Fax: 216-765-8401 |