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Individual

DR. MARTIN L. RIBOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
41201 SCHADDEN RD, ELYRIA, OH 44035-2220
(440) 324-0440
Mailing address
5260 SMITH RD, BROOKPARK, OH 44142-1747
(216) 286-6295
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35069892
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224148
UNISON
OH
01
000000529634
ANTHEM
OH
05
2017598
OH
01
363951
WELLCARE
OH
01
5461490
AETNA
OH
01
732807
BUCKEYE
OH
Enumeration date
08/17/2005
Last updated
03/12/2018
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