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Individual

MR. GABRIELE MARIA IACONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-3220
(216) 618-0403
(216) 636-1286
Mailing address
110 IRVING ST NW DEPT OF, WASHINGTON, DC 20010-3017
(202) 877-7568

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
326238
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35136314
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD200001308
DC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/04/2014
Last updated
11/02/2023
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