| NPI | 1700969102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME M PRIVITERA Owner 440-205-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH OH002454) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OH OH001535) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-10-15 |