Organization
CATHERINE A VLASTARIS UNDERMAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A VLASTARIS UNDERMAN MD (OWNER)
(440) 333-6444
Entity
Organization
Contact information
Practice address
20455 LORAIN RD, SUITE 304, FAIRVIEW PARK, OH 44126-3531
(440) 333-6444
(440) 333-6445
Mailing address
PO BOX 450856, WESTLAKE, OH 44145-0619
(440) 808-3700
(440) 808-3675
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3608
RRCARE
OH
Enumeration date
09/17/2006
Last updated
08/02/2011
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