Individual
DR. JOSEPH A. DIBLASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13170 RAVENNA RD, SUITE 202, CHARDON, OH 44024-7025
(440) 286-2121
(440) 286-9204
Mailing address
13170 RAVENNA RD, SUITE 202, CHARDON, OH 44024-7025
(440) 286-2121
(440) 286-9204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-049468
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0709399
—
OH
Enumeration date
11/30/2006
Last updated
07/08/2007
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