Healthcare Provider Details

I. General information

NPI: 1063037984
Provider Name (Legal Business Name): JOSEPH LIU MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 06/03/2022
Certification Date: 06/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE # R4
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-296-0488
  • Fax:
Mailing address:
  • Phone: 216-636-1768
  • Fax: 216-445-6935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: