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24200 Chagrin Blvd Beachwood OH 44122-5550 | |
| (216) 831-6466 | |
| (216) 766-6083 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 24200 Chagrin Blvd, Beachwood, Ohio |
| Authorized Official Name and Position | Esther Pla (CEO) |
| Authorized Official Contact | 2168316466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
24200 Chagrin Blvd Beachwood OH 44122-5550 Ph: (216) 831-6466 | 24200 Chagrin Blvd Beachwood OH 44122-5550 Ph: (216) 831-6466 |
| NPI Number | 1114348919 |
|---|---|
| Provider Enumeration Date | 12/20/2013 |
| Last Update Date | 12/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114348919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
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