| Partners Physician Group | |
|
4302 Allen Rd #140 Stow OH 44224-1070 | |
| (330) 665-8270 | |
| (330) 344-1004 |
| Full Name | Partners Physician Group |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4302 Allen Rd, Stow, Ohio |
| Authorized Official Name and Position | Kenneth Braman (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3306658302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners Physician Group 4302 Allen Rd #140 Stow OH 44224-1070 Ph: (330) 665-8270 | Partners Physician Group 4302 Allen Rd #140 Stow OH 44224-1070 Ph: (330) 665-8270 |
| NPI Number | 1831362755 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831362755 | NPI | - | NPPES |
| 1841239274 | Other | OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # |
| 2551671 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # |
| 9338635 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Ohio) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | (Ohio) | Secondary |
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