Individual
DR. ATTA J ASEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
35010 CHARDON ROAD, SUITE #101A, WILLOUGHBY HILLS, OH 44094-9011
(440) 953-3668
(440) 953-3556
Mailing address
35010 CHARDON ROAD, SUITE #101A, WILLOUGHBY HILLS, OH 44094-9011
(440) 953-3668
(440) 953-3556
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-00-2887A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000122928
ANTHEMBCBS
OH
05
—
2085023
—
OH
05
—
3025514
—
OH
Enumeration date
07/06/2006
Last updated
07/21/2022
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