| Doctor Name: | DR. JAIME L GO |
| NPI Number: | 1548257850 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 47885 |
| Business Practice Address: | 6315 Pearl Rd Ste 206 Parma Heights, OH - 441303082 |
| Business Phone Number: | 4408842126 |
| Business Fax Number: | 4408842127 |
| Mailing Address: | 1434 Homestead Creek Dr, BROADVIEW HTS |
| State: | OH |
| Postal Code: | 441472582 |
| Phone Number: | 4408842126 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2005 |
| NPI Last Update Date: | 09/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 47885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |