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Individual
DR. JEROME M PRIVITERA
Active
Individual
DR. JEROME M PRIVITERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
002454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000242734
ANTHEM
OH
01
—
0791214
UNITED HEALTHCARE
OH
05
—
0799202
—
OH
Enumeration date
06/08/2005
Last updated
01/21/2008
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