Organization
SICARD DERMATOLOGY, INC.
Active
Other names
G.R. Sicard M.D., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSTO A. SICARD M.D. (PRESIDENT)
(330) 497-7525
Entity
Organization
Contact information
Practice address
4825 MUNSON STREET NW, CANTON, OH 44718-3614
(330) 497-7525
(330) 497-2687
Mailing address
4825 MUNSON STREET NW, CANTON, OH 44718-3614
(330) 497-7525
(330) 497-2687
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925244
—
OH
Enumeration date
07/27/2006
Last updated
01/16/2026
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