Healthcare Provider Details

I. General information

NPI: 1659545051
Provider Name (Legal Business Name): DANIEL JOHN PIERRE MD, MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 02/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 S EDGERTON RD # 2
BRECKSVILLE OH
44141-4206
US

IV. Provider business mailing address

7001 S EDGERTON RD # 2
BRECKSVILLE OH
44141-4206
US

V. Phone/Fax

Practice location:
  • Phone: 440-526-1974
  • Fax: 440-740-0662
Mailing address:
  • Phone: 440-526-1974
  • Fax: 440-740-0662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35.098592
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: