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NPI Code Detail

MEDICARE: VINCENT CIBELLA DPM

MEDICARE: VINCENT CIBELLA DPM
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
1213E00000XPodiatrist36002567OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2480008272OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346243045
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT CIBELLA DPM
Provider Business Mailing Address
First Line : 2751 TIMBERLINE DR
Second Line :
City : CORTLAND
State : OH
Zip : 44410-9275
Country : US
Telephone Number : 440-466-6353
Fax Number :
Provider Business Practice Location Address
First Line : 810A W MAIN ST
Second Line :
City : GENEVA
State : OH
Zip : 44041-1219
Country : US
Telephone Number : 440-466-6353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 09/18/2018

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Directions to “ VINCENT CIBELLA DPM” Practice Location

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