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NPI Code Detail

MEDICARE: DR. JEFFREY D SOLOMON DPM

MEDICARE:  DR. JEFFREY D SOLOMON  DPM
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
1213E00000XPodiatristN003492-1NY
2222Z00000XOrthotist36002080SOH
3213E00000XPodiatrist36002080SOH

Other Identifiers

General Provider Information

NPI Number : 1770680357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY D SOLOMON DPM
Provider Business Mailing Address
First Line : 3639 BAINBRIDGE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44118-2241
Country : US
Telephone Number : 216-371-1497
Fax Number :
Provider Business Practice Location Address
First Line : 6131 SAINT CLAIR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1627
Country : US
Telephone Number : 718-387-7628
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 04/24/2025

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Directions to “ DR. JEFFREY D SOLOMON DPM” Practice Location

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