Individual
DR. VALERIE DE MAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
301451
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136W2
BLUE CROSS BLUE SHIELD NC
NC
01
—
2026172A
MEDICARE ID
NC
05
—
89136W2
—
NC
05
—
Q01459
—
SC
Enumeration date
10/16/2006
Last updated
03/18/2016
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