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NPI Code Detail

MEDICARE: MRS. PATRICIA TANEJA M.S., C.G.C.

MEDICARE:  MRS. PATRICIA  TANEJA  M.S., C.G.C.
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1114942463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA TANEJA M.S., C.G.C.
Provider Business Mailing Address
First Line : 10043 DEERFIELD CT
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-3301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10524 EUCLID AVE
Second Line : 6TH FLOOR
City : CLEVELAND
State : OH
Zip : 44106-2205
Country : US
Telephone Number : 216-983-1132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 07/24/2009

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Directions to “ MRS. PATRICIA TANEJA M.S., C.G.C.” Practice Location

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