Individual
DR. DEBORAH ANNE NOBILIO-VICARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10325 DEWHURST RD, ELYRIA, OH 44035-8403
(440) 414-9260
(216) 201-5581
Mailing address
10325 DEWHURST RD, ELYRIA, OH 44035-8403
(440) 414-9260
(216) 201-5581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35075128
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184801
ANTHEM
OH
01
—
080167275
RAILROAD MEDICARE
—
05
—
2219183
—
OH
01
—
E75128
SUMMA
OH
Enumeration date
01/25/2006
Last updated
08/09/2021
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