MEDICARE: FRANCINE G ERENBERG MD

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
1	207RA0002X	Adult Congenital Heart Disease Physician	35-063956	OH
2	2080P0202X	Pediatric Cardiology Physician	35-063956	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5032629	OTHER	OH	AETNA
3	000000221144	OTHER	OH	UNISON
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	000000233532	OTHER	OH	ANTHEM
6	2185960	OTHER	OH	BCMH
7	363508	OTHER	OH	WELLCARE
8	736199	OTHER	OH	BUCKEYE

General Provider Information

NPI Number	:	1629096557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCINE G ERENBERG MD

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE # DESKM41
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE # DESKM41
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1716
Country	:	US
Telephone Number	:	216-445-7144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	11/17/2021

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Directions to “ FRANCINE G ERENBERG MD” Practice Location

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