Provider Demographics
NPI:1306264858
Name:DULABON, CARLY (MD)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:
Last Name:DULABON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:CARLY
Other - Middle Name:
Other - Last Name:SAFIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1761 BEALL AVE
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2342
Mailing Address - Country:US
Mailing Address - Phone:330-263-8100
Mailing Address - Fax:330-543-4467
Practice Address - Street 1:1761 BEALL AVE
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2342
Practice Address - Country:US
Practice Address - Phone:330-263-8100
Practice Address - Fax:330-543-4467
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program