Jeffrey A. Chaitoff,md,llc | |
6563 Wilson Mills Rd Suite 104 Cleveland OH 44143-6401 | |
(440) 919-0180 | |
(440) 919-0181 |
Full Name | Jeffrey A. Chaitoff,md,llc |
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Speciality | Clinic/Center |
Location | 6563 Wilson Mills Rd, Cleveland, Ohio |
Authorized Official Name and Position | Barbara D. Burgess (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 4409190180 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jeffrey A. Chaitoff,md,llc 6563 Wilson Mills Rd Suite 104 Cleveland OH 44143-6401 Ph: (440) 919-0180 | Jeffrey A. Chaitoff,md,llc 6563 Wilson Mills Rd Suite 104 Cleveland OH 44143-6401 Ph: (440) 919-0180 |
NPI Number | 1326237140 |
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Provider Enumeration Date | 10/17/2007 |
Last Update Date | 08/21/2008 |
Medicare PECOS PAC ID | 0042308926 |
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Medicare Enrollment ID | O20071109000263 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326237140 | NPI | - | NPPES |
2834366 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 35036076C (Ohio) | Primary |
Provider Name | Jeffrey Alan Chaitoff |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639175375 PECOS PAC ID: 9234227117 Enrollment ID: I20071109000256 |
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