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NPI Code Detail

MEDICARE: DR. MARWAN WASSOUF MD

MEDICARE: DR. MARWAN WASSOUF 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
1207R00000XInternal Medicine Physician35.127115OH
2208M00000XHospitalist Physician35.127115OH

General Provider Information

NPI Number : 1962844373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARWAN WASSOUF MD
Provider Business Mailing Address
First Line : 33300 CLEVELAND CLINIC BLVD
Second Line :
City : AVON
State : OH
Zip : 44011-1172
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 33300 CLEVELAND CLINIC BLVD
Second Line :
City : AVON
State : OH
Zip : 44011-1172
Country : US
Telephone Number : 440-695-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2013
Last Update Date : 02/03/2026

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