Individual
DR. JANE S. DISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4110 WARRENSVILLE CENTER RD, SUITE 102, BEACHWOOD, OH 44122-7024
(216) 491-7036
(216) 491-7776
Mailing address
275 SPRINGSIDE DR, #100, AKRON, OH 44333-4548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
34-006034
OH
207R00000X
Internal Medicine Physician
Primary
34-006034
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0967539
—
OH
01
—
110201035
RAILROAD MEDICARE
—
Enumeration date
05/02/2006
Last updated
02/28/2020
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