Individual
VINCENT CIBELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
810A W MAIN ST, GENEVA, OH 44041-1219
(440) 466-6353
Mailing address
2751 TIMBERLINE DR, CORTLAND, OH 44410-9275
(440) 466-6353
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002567
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0773159
—
OH
01
—
480008272
RAILROAD MEDICARE
OH
Enumeration date
05/27/2005
Last updated
09/18/2018
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