Individual
DR. PHILIP DONALD JUNGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 S GREEN RD, SUITE 160, SOUTH EUCLID, OH 44121-4128
(216) 691-3500
(216) 691-3501
Mailing address
1611 S GREEN RD, SUITE 160, SOUTH EUCLID, OH 44121-4128
(216) 691-3500
(216) 691-3501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35063745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116823
—
OH
Enumeration date
08/01/2006
Last updated
07/08/2007
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