Provider Demographics
NPI:1437118692
Name:MARFORI, NORBERTO R (MD)
Entity Type:Individual
Prefix:
First Name:NORBERTO
Middle Name:R
Last Name:MARFORI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4287 OBERLIN AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-2924
Mailing Address - Country:US
Mailing Address - Phone:440-282-4232
Mailing Address - Fax:440-282-5393
Practice Address - Street 1:4287 OBERLIN AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-2924
Practice Address - Country:US
Practice Address - Phone:440-282-4232
Practice Address - Fax:440-282-5393
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2016-01-25
Deactivation Date:2013-08-23
Deactivation Code:
Reactivation Date:2016-01-19
Provider Licenses
StateLicense IDTaxonomies
OH35035397208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0218973Medicaid
OHA74528Medicare UPIN
OHMA0391762Medicare ID - Type Unspecified