Individual
JEFFREY S USTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11000 EUCLID AVE, CLEVELAND, OH 44106-1714
(216) 844-7874
Mailing address
11000 EUCLID AVE, CLEVELAND, OH 44106-1714
(216) 844-7874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L-233602
MA
2086S0102X
Surgical Critical Care Physician
Primary
2603
MA
2086S0127X
Trauma Surgery Physician
0000
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078676/A
—
MA
Enumeration date
08/05/2007
Last updated
01/11/2021
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