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NPI Code Detail

MEDICARE: CHRISTOPHER FRANK JONDA PA

MEDICARE:   CHRISTOPHER FRANK JONDA  PA
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
1363A00000XPhysician Assistant50.003641OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538405493
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER FRANK JONDA PA
Provider Business Mailing Address
First Line : 1950 NILES CORTLAND RD NE STE 4
Second Line :
City : WARREN
State : OH
Zip : 44484-1077
Country : US
Telephone Number : 330-856-2545
Fax Number : 330-856-2542
Provider Business Practice Location Address
First Line : 1950 NILES CORTLAND RD NE STE 4
Second Line :
City : WARREN
State : OH
Zip : 44484-1077
Country : US
Telephone Number : 330-856-2545
Fax Number : 330-856-2542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2012
Last Update Date : 05/25/2021

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Directions to “ CHRISTOPHER FRANK JONDA PA” Practice Location

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