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Individual

DR. JONATHAN LEE EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
155 5TH STREET NE, BARBERTON, OH 44203
(330) 615-3205
(330) 615-3221
Mailing address
155 5TH STREET NE, BARBERTON, OH 44203
(330) 615-3205
(330) 615-3221

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35079130
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2349980
OH
Enumeration date
09/05/2006
Last updated
04/27/2011
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