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Individual

JAMIE SHOAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44194-6402
(646) 628-7928
Mailing address
9500 EUCLID AVE # R3-116, CLEVELAND, OH 44195-1389
(216) 287-7840

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.141733
OH
208000000X
Pediatrics Physician
ME136566
FL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
35.141733
OH

Other

Enumeration date
05/21/2015
Last updated
02/01/2022
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