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Individual

CUONG DO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4101
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-07-6648
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000271431
ANTHEM
OH
01
000000372948
ANTHEM
OH
05
2222106
OH
01
341960760032
CARESOURCE
OH
05
4440955
MI
01
727186
BCHP
OH
05
810547599048
OH
Enumeration date
04/14/2006
Last updated
12/24/2007
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