| Northeast Ohio Medical Group | |
|
13944 Euclid Ave Suite 103 Cleveland OH 44112-3832 | |
| (216) 761-9617 | |
| Not Available |
| Full Name | Northeast Ohio Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 13944 Euclid Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Charles Abunyewa (PARTNER) |
| Authorized Official Contact | 2167619617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Ohio Medical Group 13944 Euclid Ave Suite 103 Cleveland OH 44112-3832 Ph: (216) 761-9617 | Northeast Ohio Medical Group 13944 Euclid Ave Suite 103 Cleveland OH 44112-3832 Ph: (216) 761-9617 |
| NPI Number | 1659445773 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659445773 | NPI | - | NPPES |
| PENDING | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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