Provider Demographics
NPI:1427459601
Name:ANTHONY R ELIAS MD AND CHRISTINE C TAM MD LLC
Entity type:Organization
Organization Name:ANTHONY R ELIAS MD AND CHRISTINE C TAM MD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-582-3010
Mailing Address - Street 1:PO BOX 1060
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-1060
Mailing Address - Country:US
Mailing Address - Phone:440-582-3010
Mailing Address - Fax:440-338-4219
Practice Address - Street 1:7171 ROYALTON RD # 200
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-4818
Practice Address - Country:US
Practice Address - Phone:440-582-3010
Practice Address - Fax:440-338-4219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty