Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 35.077473 | OH |
NPI | 1013206770 |
---|---|
Provider Name | Dr. Christine Cee Ai Tam |
First Address | Chesterland, OH 44026-1060 |
Second Address | Brookpark, OH 44142-2583 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 17/03/2018 |