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Individual

DR. ROGER B CHAFFEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
95 ARCH ST, STE 300, AKRON, OH 44304-1473
(330) 376-7000
(330) 376-1066
Mailing address
95 ARCH ST, STE 300, AKRON, OH 44304-1473
(330) 376-7000
(330) 376-1066

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35053638C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0673377
MEDICARE ID
OH
01
0673378
MEDICARE ID
OH
05
0792656
OH
Enumeration date
06/20/2005
Last updated
10/05/2011
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