Healthcare Provider Details

I. General information

NPI: 1336145960
Provider Name (Legal Business Name): .DRS. SASS, FRIEDMAN & ASSOC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 07/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14055 CEDAR RD
SOUTH EUCLID OH
44118-3337
US

IV. Provider business mailing address

PO BOX 72594
CLEVELAND OH
44192-0002
US

V. Phone/Fax

Practice location:
  • Phone: 216-371-0181
  • Fax: 216-371-0181
Mailing address:
  • Phone: 216-371-0181
  • Fax: 216-371-6199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: MRS. MICHELLE VRENKO
Title or Position: BILLING MANAGER
Credential:
Phone: 216-470-6292