Doctor Name: | DR. MARY SARAH CERNICA-REICHARD |
NPI Number: | 1114023710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 36.003434 |
Business Practice Address: | 1300 S Canfield Niles Rd Suite 1 Austintown, OH - 445154081 |
Business Phone Number: | 3307926519 |
Business Fax Number: | 3307929911 |
Mailing Address: | 7229 Trenholm Rd, BOARDMAN |
State: | OH |
Postal Code: | 445124743 |
Phone Number: | 3305509811 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 04/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 36.003434 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |