Individual
ANDREW CHIZMADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10379 REVERE CT, CONCORD TOWNSHIP, OH 44077-2036
(440) 887-1100
Mailing address
10379 REVERE CT, CONCORD TOWNSHIP, OH 44077-2036
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M0000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038796
—
OH
Enumeration date
10/19/2022
Last updated
01/30/2025
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