Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 2643 | OH |
NPI | 1063580199 |
---|---|
Provider Name | Dr. Catherine Chiodo |
First Address | Newark, OH 43055-2004 |
Second Address | Newark, OH 43055-2004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 23/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0794305 | (05) | OH |
T98031 | (02) | OH |