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Individual

CATHERINE A VLASTARIS

Active
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Individual

CATHERINE A VLASTARIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35064822
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070017531
RAILROAD MEDICARE
OH
05
2091525
OH
Enumeration date
05/28/2006
Last updated
03/07/2016
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