Organization · Type 2 NPI
Jerome M Privitera Dpm, Inc.
Foot & Ankle Surgery Podiatrist · Mentor, OH
NPI number
1700969102
Active
Practice location
9485 Mentor Ave, Suite 200
Mentor, OH 44060-8723
Fax (440) 205-5875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | OH001535 (OH) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | OH002454 (OH) |
Foot & Ankle Surgery Podiatrist: Definition to come...
33 other providers at this address
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- Lake Hospital System, Inc.Internal Medicine Physician Mentor, OH NPI 1861420804
- Mentor Surgery Center LtdAmbulatory Surgical Clinic/Center Mentor, OH NPI 1417958729
- Professional Optical CoOptician Mentor, OH NPI 1669500161
- Adrienne Marie Colabuno, PA-CPhysician Assistant Mentor, OH NPI 1194002006
Other foot & ankle surgery podiatrist providers in Mentor
About NPI 1700969102
Jerome M Privitera Dpm, Inc.'s National Provider Identifier is 1700969102, issued on Oct 23, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mentor, OH. The record was last updated on Oct 15, 2012.