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GEORGETTE DIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 312-5747
(804) 828-8965
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 312-5747

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
35.152962
OH
2084N0600X
Clinical Neurophysiology Physician
0116038978
VA

Other

Enumeration date
08/07/2023
Last updated
06/27/2025
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