Healthcare Provider Details

I. General information

NPI: 1154811362
Provider Name (Legal Business Name): MARIA NICOLE VASKO DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. MARIA NICOLE GRECOL

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W EXCHANGE ST STE 440
AKRON OH
44302-1718
US

IV. Provider business mailing address

224 W EXCHANGE ST STE 440
AKRON OH
44302-1718
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-2663
  • Fax:
Mailing address:
  • Phone: 330-344-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number36004018
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: