WESTERN RESERVE GYNECOLOGY NPI 1235241662

NPI Information

WESTERN RESERVE GYNECOLOGY is an obstetrics obstetrics gynecology in Poland, OH. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee WESTERN RESERVE GYNECOLOGY NPI is 1235241662. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 E WESTERN RESERVE RD
POLAND, OH
ZIP 44514-359
Phone: (330) 726-4833
Fax: (330) 726-1123

The provider's authorized official is Jennifer Hoschar .
The authorized official title is Practice Manager and has the following contact phone number (330) 726-4833.

The CLIA number assigned to this NPI record is 36D0715217 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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