Organization
HIGHLAND PODIATRY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J CAVOLO DPM (TAX ID OWNER)
(440) 473-0550
Entity
Organization
Contact information
Practice address
850 BRAINARD RD, HIGHLAND HTS, OH 44143-3146
(440) 473-0550
(440) 473-1266
Mailing address
850 BRAINARD RD, HIGHLAND HTS, OH 44143-3146
(440) 473-0550
(440) 473-1266
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36001699C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000166644
ANTHEM
OH
05
—
0305959
—
OH
01
—
3206958
AETNA
OH
Enumeration date
11/28/2007
Last updated
12/06/2017
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