Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 35064866 | OH |
NPI | 1093749541 |
---|---|
Provider Name | Dr. Cynthia Gustaferro |
First Address | Beachwood, OH 44122-4331 |
Second Address | Beachwood, OH 44122-4331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 19/11/2010 |