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Individual

ALFRED VITALE CIRALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45457
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0547183
MEDICARE ID
OH
05
0553815
OH
Enumeration date
01/10/2006
Last updated
09/22/2011
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