Jerome M Privitera Dpm, Inc.

NPI #1700969102 in Mentor, Ohio

Provider Information

NPI Number
1700969102
Entity Type
Organization
Organization Name
Jerome M Privitera Dpm, Inc.
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Oct 23, 2006
Last Updated
Oct 15, 2012

Practice Location

Address
9485 MENTOR AVE
Address 2
SUITE 200
City
Mentor
State
Ohio
ZIP Code
44060-8723
Phone
(440) 205-5878

Authorized Official

Name
JEROME M PRIVITERA, DPM
Title
OWNER
Phone
(440) 205-5878

Specialties & Taxonomy Codes

Specialty
Podiatrist - Primary Podiatric MedicinePrimary Podiatric Medicine
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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