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Individual

DR. FREDERICK JAY PRIZANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1100 N ABBE RD, SUITE D, ELYRIA, OH 44035-1667
(440) 365-2502
Mailing address
1100 N ABBE RD, SUITE D, ELYRIA, OH 44035-1667
(440) 365-2502

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002142
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0694708
OH
01
160203
ANTHEM BLUE CROSS
Enumeration date
11/06/2006
Last updated
07/08/2007
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