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Individual

ROBERT L. DEBERNARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9500 EUCLID AVE, A-81, CLEVELAND, OH 44195-0001
(216) 444-7645
Mailing address
9500 EUCLID AVE, A-81, CLEVELAND, OH 44195-0001
(216) 444-7645
(216) 444-8557

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
35084495
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000208694
UNISON
OH
01
000000509158
ANTHEM
OH
05
2486859
OH
01
363470
WELLCARE
OH
01
7189264
AETNA
OH
01
744143
BUCKEYE
OH
Enumeration date
07/08/2006
Last updated
07/22/2013
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