Healthcare Provider Details

I. General information

NPI: 1811097280
Provider Name (Legal Business Name): ALAN JOHN PUSNIK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12301 SNOW ROAD
PARMA OH
44130
US

IV. Provider business mailing address

1001 LAKESIDE AVE E #1200
CLEVELAND OH
44114-1158
US

V. Phone/Fax

Practice location:
  • Phone: 216-621-5600
  • Fax: 216-479-5554
Mailing address:
  • Phone: 216-479-5541
  • Fax: 216-479-5554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35-040744
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: