| NPI | 1760459325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A RICHMAN Managing Member/Owner 330-436-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35075905) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2013-08-14 |