Individual
NICOLE C MARONIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-6000
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35-085377
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221023
UNISON
OH
01
—
000000506208
ANTHEM
OH
05
—
1164451837
—
MI
05
—
2680933
—
OH
01
—
363809
WELLCARE
OH
01
—
746583
BUCKEYE
OH
01
—
7646019
AETNA
OH
Enumeration date
07/03/2006
Last updated
12/02/2020
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