institution
Jerome M Privitera Dpm, Inc.
Foot & Ankle Surgery Podiatrist in Mentor, Ohio
NPI 1700969102

Jerome M Privitera Dpm, Inc. is a Foot & Ankle Surgery Podiatrist based in Mentor, OH and is specialized in Foot & Ankle Surgery. Jerome M Privitera Dpm, Inc. practices in Mentor, OH. The NPI Number for Jerome M Privitera Dpm, Inc. is 1700969102 and holds a License No. OH001535 (Ohio).

The current practice location address for Jerome M Privitera Dpm, Inc. is 9485 Mentor Ave, Mentor, OH and can be reached out via phone at 440-205-5878 and via fax at 440-205-5875.

Location: 9485 Mentor Ave, Mentor, OH, 44060-8723
institution
Provider Profile Details
NPI Number
1700969102
Provider Name
Jerome M Privitera Dpm, Inc.
Credential
Provider Entity Type
Organization
Address
9485 Mentor Ave, Mentor, OH, 44060-8723
Phone Number
440-205-5878
Fax Number
440-205-5875
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2310654 05 OH
2310636 05 OH
2310663 05 OH
institution
Provider Business Practice Location Address Details
Address
9485 Mentor Ave
City
State
Zip
44060-8723
Phone Number
440-205-5878
Fax Number
440-205-5875
person
Provider Business Mailing Address Details
Address
9485 Mentor Ave
City
State
Zip
44060-8723
Phone Number
440-205-5878
Fax Number
440-205-5875
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
OH002454 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
OH001535 (Ohio)
Definition
Definition to come...
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