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Individual

DR. JOHN ROBERT TADDEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5625 RIDGE RD, PARMA, OH 44129-2633
(440) 884-4100
(440) 884-4742
Mailing address
5625 RIDGE RD, PARMA, OH 44129-2633
(440) 884-4100
(440) 884-4742

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
36.003732
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003732
OH

Other

Enumeration date
04/24/2012
Last updated
07/20/2015
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