Individual
CATHERINE A VLASTARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33100 CLEVELAND CLINIC BLVD - AVW3-2, CLEVELAND CLINIC RICHARD E JACOBS HEALTH CENTER, AVON, OH 44011
(440) 695-4000
(440) 695-4389
Mailing address
33100 CLEVELAND CLINIC BLVD - AVW3-2, CLEVELAND CLINIC RICHARD E JACOBS HEALTH CENTER, AVON, OH 44011
(440) 695-4000
(440) 695-4389
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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