Diller, Andrew J.

Diller, Andrew J. is an individual health care provider with primary practice located at 3733 Park East Dr. Suite 240, Beachwood OH 44122-4337. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Diller, Andrew J. can be contacted via phone (216) 245-1290.

Contact Information

Primary practice address
3733 Park East Dr. Suite 240 Beachwood OH 44122-4337
Phone: (216) 245-1290
Fax: (866) 571-4884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36-00-3545 Ohio

Profile Details

NPI number 1982879680
LBN Legal business name Diller, Andrew J.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2008
Last updated May 14th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982879680 NPPES
Ohio MEDICAID 3142601

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