Organization
J JEFFERY CAMERON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J JEFFERY CAMERON M.D. (DOCTOR)
(440) 285-0828
Entity
Organization
Contact information
Practice address
13170 RAVENNA RD, SUITE 116, CHARDON, OH 44024-7025
(440) 285-0828
(440) 285-8023
Mailing address
13170 RAVENNA RD, SUITE 116, CHARDON, OH 44024-7025
(440) 285-0828
(440) 285-8023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35.051544
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702449
—
OH
01
—
4231631
MEDICARE PROVIDER NUMBER
OH
Enumeration date
08/09/2012
Last updated
08/09/2012
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