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Individual

DR. MARY SARAH CERNICA-REICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1300 S CANFIELD NILES RD, SUITE 1, AUSTINTOWN, OH 44515-4081
(330) 792-6519
(330) 792-9911
Mailing address
7229 TRENHOLM RD, BOARDMAN, OH 44512-4743
(330) 550-9811

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
36.003434
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003434
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000497906
ANTHEMBCBS
OH
05
2687356
OH
Enumeration date
09/15/2006
Last updated
04/04/2008
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