Jennifer M Carandang, MD
Internal Medicine in Avon, OH. Individual provider (NPI-1).
NPI number1912909862
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1912909862
- Entity type
- Individual (NPI-1)
- Name
- Jennifer M Carandang
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2005
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 35075271 | OH | Yes |
| 208000000X | Pediatrics | 35075271 | OH |
Practice location
36711 American Way Ste AAvon, OH 44011-4062
Phone 440-653-8091 · Fax 440-653-8089
Mailing address
3755 Orange Pl Ste 101Beachwood, OH 44122-4455
Phone 440-455-3353 · Fax 440-653-8089
Other practice locations
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