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Individual

JEFFREY M HARDACRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7874
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-082596
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221355
UNISON
OH
01
000000503727
ANTHEM
05
2426191
OH
01
363611
WELLCARE
OH
01
7153331
AETNA
01
738061
BUCKEYE
OH
01
P00155791
RAILROAD MEDICARE - UHPL
OH
01
P00412477
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
01/08/2021
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