Provider First Line Business Practice Location Address:
11100 EUCLID AVENUE
Provider Second Line Business Practice Location Address:
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, PTH 5077
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44106-4410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-677-1280
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2013