Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 00001 | WV |
N | 208800000X | Urologist | 00001 | WV |
Y | 208800000X | Urologist | 35.098090 | OH |
NPI | 1336386820 |
---|---|
Provider Name | Dr. Jeff S Chueh |
First Address | Avon, OH 44011-1390 |
Second Address | Avon, OH 44011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2009 |
Last Update Date | 23/05/2018 |