Individual
SYED JAFFER ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 COLUMBUS ST, BEDFORD, OH 44146-2819
(440) 232-6610
(440) 232-7509
Mailing address
12 COLUMBUS ST, BEDFORD, OH 44146-2819
(440) 232-6610
(440) 232-7509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-037955A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406019
—
OH
01
—
1154407203
NPI
OH
Enumeration date
10/31/2006
Last updated
07/22/2010
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