Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 35 032974 | OH |
NPI | 1003900812 |
---|---|
Provider Name | Dr. Harold Mars |
First Address | Beachwood, OH 44122-4331 |
Second Address | Beachwood, OH 44122-4331 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 02/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0155684 | (05) | OH |
C01101 | (02) | OH |