Individual
DR. JONATHAN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 464-7770
(216) 464-7531
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
35045606
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0575944
—
OH
Enumeration date
01/11/2006
Last updated
12/22/2021
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