BG ANTAR, LLC

LAKEWOOD, OH
NPI1588113211
Entity TypeOrganization
Authorized ContactMOHAMMED FREDDIE AHMAD
Owner
440-315-1489
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  35124466)
Enumeration Date2016-09-22
Last Update Date2022-07-21
Business Address
BG ANTAR, LLC
11716 DETROIT AVE
LAKEWOOD, OH 44107-3002
Phone number: 440-315-1489
Mailing Address
BG ANTAR, LLC
PO BOX 770800
LAKEWOOD, OH 44107-0037
Phone number: 440-315-1489
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