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Individual

DR. MELVIN JAY CHAVINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7350 PALISADES PKWY, MENTOR, OH 44060-5302
(440) 918-1000
(440) 918-1029
Mailing address
21169 CLAYTHORNE RD, SHAKER HEIGHTS, OH 44122-1967
(216) 321-9798
(440) 918-1011

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35031360
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224368
ANTHEM BLUE CROSS
OH
05
0268848
OH
Enumeration date
03/05/2007
Last updated
07/08/2007
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