Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT017527 | OH |
NPI | 1023599313 |
---|---|
Provider Name | Andrew Benjamin Trem |
First Address | Fairlawn, OH 44333-3024 |
Second Address | Fairlawn, OH 44333-3024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2018 |
Last Update Date | 24/08/2018 |