Individual
DR. JEFFREY J VISCOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10633 PEARL RD, STRONGSVILLE, OH 44136-1435
(440) 846-6963
(440) 846-0011
Mailing address
10633 PEARL RD, STRONGSVILLE, OH 44136-1435
(440) 846-6963
(440) 846-0011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201249527
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108949
—
OH
Enumeration date
05/01/2006
Last updated
09/23/2011
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