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NPI Code Detail

MEDICARE: ANTHONY J. GINGO JR. MD

MEDICARE:   ANTHONY J. GINGO JR. MD
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
1207V00000XObstetrics & Gynecology Physician35060907GOH

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 : 1700878022
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY J. GINGO JR. MD
Provider Business Mailing Address
First Line : 7255 OLD OAK BLVD
Second Line : STE C112
City : CLEVELAND
State : OH
Zip : 44130-3329
Country : US
Telephone Number : 440-816-5333
Fax Number : 888-376-2624
Provider Business Practice Location Address
First Line : 7215 OLD OAK BLVD
Second Line : STE A314
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3340
Country : US
Telephone Number : 440-816-5333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 05/10/2016

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