Individual
DR. ROBERT EDWARD MARSICO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5783 WOOSTER PIKE, MEDINA, OH 44256-8816
(330) 725-0569
(330) 662-0258
Mailing address
5783 WOOSTER PIKE, MEDINA, OH 44256-8816
(330) 725-0569
(330) 662-0258
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.025085
OH
207NP0225X
Pediatric Dermatology Physician
35.025085
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001125
—
OH
Enumeration date
05/27/2005
Last updated
10/31/2020
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