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NPI Code Detail

MEDICARE: UES RICHMOND HEIGHTS LLC

MEDICARE: UES RICHMOND HEIGHTS LLC
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
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1568414613
Entity Type Code : Organization
Provider Name (Legal Business Name) : UES RICHMOND HEIGHTS LLC
Provider Business Mailing Address
First Line : 12420 MILESTONE CENTER DR STE 200
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-7111
Country : US
Telephone Number : 240-686-2300
Fax Number : 240-686-2329
Provider Business Practice Location Address
First Line : 27100 CHARDON RD
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-1116
Country : US
Telephone Number : 844-474-4019
Fax Number :
Authorized Official
Title or Position : CHIEF LEGAL OFFICER
Name : AMY CHARLEY
Credential : ESQ
Telephone Number : 240-686-2300
Provider Enumeration Date : 05/17/2006
Last Update Date : 02/24/2023

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Directions to “UES RICHMOND HEIGHTS LLC ” Practice Location

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