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Individual
DR. JOHN ROBERT TADDEO
Active
Individual
DR. JOHN ROBERT TADDEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
36.003732
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003732
OH
Other
Enumeration date
04/24/2012
Last updated
07/20/2015
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