Individual
MR. MARIO A. DELISIO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S.A.
Contact information
Practice address
6770 MAYFIELD RD, SUITE # 300, MAYFIELD HTS, OH 44124-2299
(440) 460-2822
(440) 460-2825
Mailing address
5288 STRAWBERRY LN, WILLOUGHBY, OH 44094-4373
(440) 942-3319
(440) 460-2825
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
NONE REQUIRED
OH
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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