Ohio Permanente Medical Group

NPI #1598042442 in Kent, Ohio

Provider Information

NPI Number: 1598042442
Entity Type: Organization
Organization Name: Ohio Permanente Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Nov 7, 2011
Last Updated: Nov 7, 2011

Practice Location

Address: 2500 STATE ROUTE 59
Address 2: SUITE 28
City: Kent
State: Ohio
ZIP Code: 44240-7105
Phone: (216) 265-8844

Authorized Official

Name: MR. CRAIG FAERBER
Title: VP/CFO
Phone: (216) 265-8844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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