| Organization Name: | CLEVELAND CARDIOVASCULAR RESEARCH FOUNDATION |
| NPI Number: | 1104178631 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EMAD M NUKTA (VICE PRESIDENT) |
| Mailing Address: | 20455 Lorain Rd #200 Fairview Park |
| State: | OH US |
| Postal Code: | 441263494 |
| Phone Number: | 4403338600 |
| Fax Number: | 2163730877 |
| NPI Enumeration Date: | 10/08/2012 |
| NPI Last Update Date: | 10/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Research |
| Taxonomy Definition: | |