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NPI Code Detail

MEDICARE: SOUTH SUBURBAN WOMEN'S CENTER

MEDICARE: SOUTH SUBURBAN WOMEN'S CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0000XObstetrics Physician

General Provider Information

NPI Number : 1477694776
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH SUBURBAN WOMEN'S CENTER
Provider Business Mailing Address
First Line : 13201 GRANGER RD
Second Line : SUITE 3
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-1978
Country : US
Telephone Number : 216-662-1900
Fax Number : 216-581-8201
Provider Business Practice Location Address
First Line : 13201 GRANGER RD
Second Line : SUITE 3
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-1978
Country : US
Telephone Number : 216-662-1900
Fax Number : 216-581-8201
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN J FARINACCI
Credential : D.O.
Telephone Number : 216-662-1900
Provider Enumeration Date : 02/09/2007
Last Update Date : 08/22/2020

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Practice Location Address:
13201 GRANGER RD
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Directions to “SOUTH SUBURBAN WOMEN'S CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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