MEDICARE: DR. SEBASTIAN CIRIO 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
1	390200000X	Student in an Organized Health Care Education/Training Program	57253514	OH

General Provider Information

NPI Number	:	1609500651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEBASTIAN CIRIO MD

Provider Business Mailing Address
First Line	:	CLEVELAND CLINIC 9500 EUCLID AVENUE/NA-23
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-4111
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-4111
Country	:	US
Telephone Number	:	440-226-4811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2022
Last Update Date	:	07/16/2022

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