| Antony M George Md Mph Llc | |
|
18660 Bagley Rd Ste 200b Middleburg Heights OH 44130-8408 | |
| (440) 403-9506 | |
| (440) 403-9507 |
| Full Name | Antony M George Md Mph Llc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 18660 Bagley Rd Ste 200b, Middleburg Heights, Ohio |
| Authorized Official Name and Position | Antony M George (PRES OWNER) |
| Authorized Official Contact | 4404039506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antony M George Md Mph Llc 18660 Bagley Rd Ste 200b Middleburg Heights OH 44130-8408 Ph: (440) 403-9506 | Antony M George Md Mph Llc 18660 Bagley Rd Ste 200b Middleburg Heights OH 44130-8408 Ph: (440) 403-9506 |
| NPI Number | 1588678379 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 02/28/2019 |
| Medicare PECOS PAC ID | 5799703476 |
|---|---|
| Medicare Enrollment ID | O20051110000910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588678379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | (* (Not Available)) | Primary |
| Provider Name | Antony M George |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1366443541 PECOS PAC ID: 0749258085 Enrollment ID: I20040923000650 |
| Provider Name | Jessica L Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164860292 PECOS PAC ID: 9830330224 Enrollment ID: I20130727000078 |
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