Organization
A JAY RAIMONDE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JAY RAIMONDE (OWNER)
(419) 794-7270
Entity
Organization
Contact information
Practice address
3027 MATTHEW CIR, MONCLOVA, OH 43542-9601
(419) 794-7270
Mailing address
3027 MATTHEW CIR, MONCLOVA, OH 43542-9601
(419) 794-7270
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0823309
—
OH
Enumeration date
08/05/2007
Last updated
08/05/2007
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