| Edward S. Rosenthal, Md., Llc | |
|
12000 Mccracken Rd Suite 453 Garfield Heights OH 44125-2933 | |
| (216) 581-4900 | |
| (216) 581-7370 |
| Full Name | Edward S. Rosenthal, Md., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12000 Mccracken Rd, Garfield Heights, Ohio |
| Authorized Official Name and Position | Edward Steven Rosenthal (SOLE OWNER) |
| Authorized Official Contact | 2165814900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward S. Rosenthal, Md., Llc 12000 Mccracken Rd Suite 453 Garfield Heights OH 44125-2933 Ph: (216) 581-4900 | Edward S. Rosenthal, Md., Llc 12000 Mccracken Rd Suite 453 Garfield Heights OH 44125-2933 Ph: (216) 581-4900 |
| NPI Number | 1992802474 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992802474 | NPI | - | NPPES |
| 2725000 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-053841 (Ohio) | Primary |
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