Provider Demographics
NPI:1750543963
Name:REU, FREDERIC JOEL (MD)
Entity type:Individual
Prefix:
First Name:FREDERIC
Middle Name:JOEL
Last Name:REU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BENGELSTRASSE 8
Mailing Address - Street 2:
Mailing Address - City:LEINFELDEN-ECHTERDINGEN
Mailing Address - State:BW
Mailing Address - Zip Code:70771
Mailing Address - Country:DE
Mailing Address - Phone:01149711-990-5920
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:R40
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-29
Last Update Date:2008-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.091896207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology