Individual
MRS. CECILE JENTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 N MILLER RD, FAIRLAWN, OH 44333-3702
(330) 836-9721
(330) 836-9627
Mailing address
50 N MILLER RD, FAIRLAWN, OH 44333-3702
(330) 836-9721
(330) 836-9627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35121123
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084116
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
255161
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
04/14/2010
Last updated
11/07/2013
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