Individual
DR. JERRY C TARDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
853 W BAGLEY RD, BEREA, OH 44017-2903
(440) 234-0502
(440) 234-0590
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
(440) 234-0502
(440) 234-0590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35049545T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0738705
—
OH
Enumeration date
07/22/2005
Last updated
07/22/2011
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