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Organization

CLEVELAND FOOT AND ANKLE CLINIC

Active
Other names
Cleveland Foot and Ankle Institute
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS V MELILLO DPM (PRESIDENT)
(216) 231-3300
Entity
Organization

Contact information

Practice address
13951 TERRACE RD, 6TH FLOOR, EAST CLEVELAND, OH 44112-4308
(216) 761-8661
(216) 761-2376
Mailing address
13951 TERRACE RD FL 6, CLEVELAND, OH 44112-4308
(216) 761-8661
(216) 761-2376

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CH5179
RR MEDICARE
OH
Enumeration date
03/22/2007
Last updated
08/17/2011
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