Pedicelli, Gabriele

Pedicelli, Gabriele is an sole proprietor health care provider with primary practice located at 23625 Commerce Park Suite 204, Beachwood OH 44122-5845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pedicelli, Gabriele can be contacted via phone (216) 255-5725.

Contact Information

Primary practice address
23625 Commerce Park Suite 204 Beachwood OH 44122-5845
Fax: (866) 618-2917
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35-063459 Ohio

Profile Details

NPI number 1710068879
LBN Legal business name Pedicelli, Gabriele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Feb 10th, 2010 - about 14 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 1710068879 NPPES
Other 300043195 RAILROAD MEDICARE
Other 310851206015 RAILROAD MEDICARE
Other 000000006781 RAILROAD MEDICARE
Other 000000006781 RAILROAD MEDICARE
MEDICAID 0889454 RAILROAD MEDICARE

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