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NPI Code Detail

MEDICARE: JENNIFER M GIGAX M.D.

MEDICARE:   JENNIFER M GIGAX  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35-079316OH

General Provider Information

NPI Number : 1063576536
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER M GIGAX M.D.
Provider Business Mailing Address
First Line : 1045 W HIGH AVE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2071
Country : US
Telephone Number : 330-308-5432
Fax Number : 330-339-5912
Provider Business Practice Location Address
First Line : 1045 W HIGH AVE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2071
Country : US
Telephone Number : 330-308-5432
Fax Number : 330-339-5912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 11/05/2013

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Directions to “ JENNIFER M GIGAX M.D.” Practice Location

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