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Individual

DR. JEREMY C HOBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-5293
(216) 844-7330
Mailing address
3605 WARRENSVILLE CENTER ROAD, 1ST FLOOR, SHAKER HTS, OH 44122
(440) 891-8800
(440) 891-1734

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-082812
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35-082812
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000225058
UNISON
OH
01
000000533067
ANTHEM
OH
01
0583328
BCMH
OH
05
2476502
OH
01
414774
WELLCARE MEDICAID
OH
01
740922
BUCKEYE MEDICAID
OH
01
7814565
AETNA
OH
Enumeration date
08/23/2005
Last updated
05/16/2008
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