MEDICARE: MR. JOSEPH RANDOLPH HUFF BS, RRT, CPFT, FAARC

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
1	2279P1006X	Pulmonary Function Technologist Registered Respiratory Therapist	1451	OH

General Provider Information

NPI Number	:	1265294128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH RANDOLPH HUFF BS, RRT, CPFT, FAARC

Provider Business Mailing Address
First Line	:	10701 EAST BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1702
Country	:	US
Telephone Number	:	216-791-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	6711 BASSWOOD DR
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-4812
Country	:	US
Telephone Number	:	216-287-2191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2024
Last Update Date	:	01/26/2024

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