Individual
JOSEPH MATTHEW CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4465 DARROW RD, STOW, OH 44224-1854
(330) 688-9501
(330) 688-9510
Mailing address
4465 DARROW RD, STOW, OH 44224-1854
(330) 688-9501
(330) 688-9510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35085510
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2672808
—
OH
Enumeration date
08/18/2005
Last updated
09/09/2020
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