Organization
RUSSELL CIUFO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL A CIUFO MD (TAX ID OWNER)
(440) 279-2402
Entity
Organization
Contact information
Practice address
10455 FRANKS RD, CHAGRIN FALLS, OH 44023-5219
(440) 537-2734
Mailing address
10455 FRANKS RD, CHAGRIN FALLS, OH 44023-5219
(440) 537-2734
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4018376
MEDICARE
OH
Enumeration date
11/28/2011
Last updated
11/16/2018
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