Fedele, Gregory Malcolm

Fedele, Gregory Malcolm is an sole proprietor health care provider with primary practice located at 25201 Chagrin Blvd Suite 180, Beachwood OH 44122-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Fedele, Gregory Malcolm can be contacted via phone (216) 464-1616.

Contact Information

Primary practice address
25201 Chagrin Blvd Suite 180 Beachwood OH 44122-5600
Phone: (216) 464-1616
Fax: (216) 464-1618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35.070501 Ohio

Profile Details

NPI number 1306949557
LBN Legal business name Fedele, Gregory Malcolm
Credentials M.D. FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Jul 7th, 2015 - about 9 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 1306949557 NPPES
Ohio MEDICAID 2500289

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