Individual
DR. JENNIFER ANNE DORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3951
Mailing address
24701 EUCLID AVE, 3RD FLORR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
149706
NC
2085R0001X
Radiation Oncology Physician
Primary
35-099871
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070064
—
OH
Enumeration date
04/22/2008
Last updated
12/10/2012
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