Individual
DR. FREDERICK LEWIS CONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2660 W MARKET ST, 101, FAIRLAWN, OH 44333-4206
(330) 867-9303
(330) 867-9304
Mailing address
2660 W MARKET ST, 101, FAIRLAWN, OH 44333-4206
(330) 867-9303
(330) 867-9304
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1577
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197577
—
OH
01
—
0808080001
DMBRC
—
01
—
48003502
RAIL ROAD MEDICARE
OH
Enumeration date
07/29/2005
Last updated
05/31/2011
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