Individual
JOHN J LETTERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(440) 684-5952
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
35-089599
OH
2080P0207X
Pediatric Hematology & Oncology Physician
D0039985
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224377
UNISON
OH
01
—
200206480A
OK MEDICAID
OK
05
—
2735160
—
OH
01
—
414999
WELLCARE
OH
01
—
753032
BUCKEYE
OH
01
—
7660925
AETNA
OH
Enumeration date
02/27/2007
Last updated
11/29/2011
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