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NPI Code Detail

MEDICARE: MR. MARC FRANKEL CYMES PA-C

MEDICARE: MR. MARC FRANKEL CYMES PA-C
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
1363A00000XPhysician Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112-23-5678OTHERVA PROVIDER

General Provider Information

NPI Number : 1982616736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARC FRANKEL CYMES PA-C
Provider Business Mailing Address
First Line : 2452 FENWICK RD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4464
Country : US
Telephone Number : 216-371-4639
Fax Number :
Provider Business Practice Location Address
First Line : 10701 EAST BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1702
Country : US
Telephone Number : 216-791-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 07/13/2007

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