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NPI Code Detail

MEDICARE: CHRISTINE ELIZABETH CIARAMITARO MD

MEDICARE: CHRISTINE ELIZABETH CIARAMITARO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35.145652OH
2390200000XStudent in an Organized Health Care Education/Training Program
32084P0800XPsychiatry Physician57.249512OH

General Provider Information

NPI Number : 1689085292
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE ELIZABETH CIARAMITARO MD
Provider Business Mailing Address
First Line : 2555 UNIVERSITY DR
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6255
Country : US
Telephone Number : 937-775-8148
Fax Number :
Provider Business Practice Location Address
First Line : 2555 UNIVERSITY DR
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6255
Country : US
Telephone Number : 937-775-8148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2014
Last Update Date : 10/03/2022

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