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Specialty details in registry · Brecksville, OH

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At a glance

10000 Brecksville Rd, Brecksville, OH 44141-3204

NPPES record updated Oct 27, 2008. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

10000 Brecksville Rd
Brecksville, OH 44141-3204
Professional details: NPI, taxonomy & registry record
NPI1275621435
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QV0200X
Enumeration date
Oct 11, 2006
Record updated
Oct 27, 2008
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QV0200X · Primary

License reported: 143466 OH

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

10000 Brecksville Rd
Brecksville, OH 44141-3204
Phone
(440) 526-3030
Mailing address
4950 RICHMOND RD

CLEVELAND, OH 441285924
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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