Ridgepark Family Practice

NPI #1932386919 in Parma, Ohio

Provider Information

NPI Number: 1932386919
Entity Type: Organization
Organization Name: Ridgepark Family Practice
Subpart: Yes (part of a larger organization)
Parent Organization: RIDGEPARK FAMILY PRACTICE
Primary Specialty: Clinic/Center
Enumeration Date: Jan 22, 2008
Last Updated: Feb 17, 2012

Practice Location

Address: 5500 RIDGE ROAD
Address 2: SUITE 120
City: Parma
State: Ohio
ZIP Code: 44129-2367
Phone: (216) 398-5535

Authorized Official

Name: DR. DIANE MARIE KUSHNAR, DO
Title: PRESIDENT/OWNER
Phone: (216) 398-5535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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