Doctor Name: | JORGE CEPEDA |
NPI Number: | 1174558506 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35039173C |
Business Practice Address: | 485 W Market St Tiffin, OH - 44883 |
Business Phone Number: | 4194473130 |
Business Fax Number: | 4194483155 |
Mailing Address: | Po Box 1108, ANN ARBOR |
State: | MI |
Postal Code: | 481061108 |
Phone Number: | 7346777400 |
Fax Number: | 7346777407 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 35039173C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |