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Individual

DIANE CHERNIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12300 MCCRACKEN RD, GARFIELD HTS, OH 44125-2914
(216) 581-0500
Mailing address
PO BOX 73327N, CLEVELAND, OH 44193-1094
(440) 879-0081
(440) 879-0084

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-054159
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000331563
ANTHEM
OH
05
0797731
OH
Enumeration date
10/17/2005
Last updated
07/08/2007
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