Individual
JOHN BRADLEY MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13221 RAVENNA RD, SUITE 8, CHARDON, OH 44024-9047
(440) 286-6155
(440) 286-6156
Mailing address
13221 RAVENNA RD, SUITE 8, CHARDON, OH 44024-9047
(440) 286-6155
(440) 286-6156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35056678
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0737313
—
OH
01
—
080153957
RAILROAD MEDICARE
OH
Enumeration date
12/12/2005
Last updated
01/15/2021
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