| NPI | 1255878401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE SIDARI Medical Director 216-261-6398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: OH 34006458) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-27 |