Individual provider · Type 1 NPI

Jeannine Louise Marong, PA-C

Medical Physician Assistant · Cleveland, OH

NPI number 1508167172 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

5455 N Marginal Rd, Apartment #328
Cleveland, OH 44114-3937

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X003188 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1508167172

Jeannine Louise Marong, PA-C's National Provider Identifier is 1508167172, issued on Nov 12, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cleveland, OH. The record was last updated on Jul 10, 2012.