| NPI | 1396852133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL G HAZEN Physician/Partner 440-482-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-01-08 |