| NPI | 1346537685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL G HAZEN President 440-249-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 037749) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |