Joel D. Weisblat, M.d., Inc. | |
23250 Mercantile Rd Ste 140 Beachwood OH 44122-5928 | |
(216) 464-4646 | |
(216) 464-4695 |
Full Name | Joel D. Weisblat, M.d., Inc. |
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Speciality | Clinic/Center |
Location | 23250 Mercantile Rd Ste 140, Beachwood, Ohio |
Authorized Official Name and Position | Joel David Weisblat (PRESIDENT) |
Authorized Official Contact | 2164644646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joel D. Weisblat, M.d., Inc. 23250 Mercantile Rd Ste 140 Beachwood OH 44122-5928 Ph: (216) 464-4646 | Joel D. Weisblat, M.d., Inc. 23250 Mercantile Rd Ste 140 Beachwood OH 44122-5928 Ph: (216) 464-4646 |
NPI Number | 1164477477 |
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Provider Enumeration Date | 05/24/2006 |
Last Update Date | 07/15/2024 |
Medicare PECOS PAC ID | 6507844206 |
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Medicare Enrollment ID | O20040709000600 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164477477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 35-064937 (Ohio) | Primary |
Provider Name | Joel D Weisblat |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437198264 PECOS PAC ID: 1658359369 Enrollment ID: I20040712000456 |
Provider Name | Debra A Rozin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841249422 PECOS PAC ID: 2062409808 Enrollment ID: I20070130000136 |
Provider Name | Robert Bruce Elson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174825244 PECOS PAC ID: 9830373992 Enrollment ID: I20110414000079 |
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