| NPI | 1255402442 |
|---|---|
| Doing Business As | BEACHWOOD FOOT & ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DEMORE Office Manager 216-591-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2009-01-21 |