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Individual

DR. JEFFREY M MOLDOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
667 EASTLAND AVE SE, WARREN, OH 44484-4503
(330) 841-4000
(330) 841-4007
Mailing address
5700 DARROW RD, STE 106, HUDSON, OH 44236-5026
(330) 656-5911
(330) 656-5901

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34005203
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028430
ANTHEM
OH
01
000000383091
ANTHEM
OH
01
001272239-0014
PENNSYLVANIA MEDICAID
OH
05
0856328
OH
Enumeration date
12/13/2005
Last updated
01/25/2024
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