Organization
GIORGIO VESCERA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIORGIO JAMES VESCERA MD (OWNER)
(330) 898-1486
Entity
Organization
Contact information
Practice address
2875 PARKMAN RD NW, WARREN, OH 44485-1639
(330) 898-1486
(330) 898-4530
Mailing address
2875 PARKMAN RD NW, WARREN, OH 44485-1639
(330) 898-1486
(330) 898-4530
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-084263
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2510812
—
OH
Enumeration date
07/25/2008
Last updated
07/25/2008
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