Colangelo, Gregory

Colangelo, Gregory is an individual health care provider with primary practice located at 3000 Mack Rd Suite 120, Fairfield OH 45014-5335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Colangelo, Gregory can be contacted via phone (513) 682-6975.

Contact Information

Primary practice address
3000 Mack Rd Suite 120 Fairfield OH 45014-5335
Fax: (513) 682-6976
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35054089 Ohio

Profile Details

NPI number 1083674220
LBN Legal business name Colangelo, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083674220 NPPES
Ohio MEDICAID 0669012

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