Individual
CHARLES J NOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35083843
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221156
UNISON
OH
01
—
000000524530
ANTHEM
—
05
—
2759000
—
OH
01
—
415015
WELLCARE
OH
01
—
750939
BUCKEYE
OH
01
—
9954066
AETNA
—
01
—
P00397852
RAILROAD MEDICARE
OH
Enumeration date
05/07/2007
Last updated
06/29/2011
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