Individual
JEFFREY LEO CONGENI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 TUSCARAWAS ST W, SUITE 200, CANTON, OH 44708-4644
(330) 456-0047
(330) 456-9308
Mailing address
2600 TUSCARAWAS ST W, SUITE 200, CANTON, OH 44708-4644
(330) 456-0047
(330) 456-9308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35067351C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012593
—
OH
Enumeration date
05/31/2006
Last updated
07/08/2007
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