Individual
SEAN MICHAEL VELLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5175 MORSE RD, SUITE 400, GAHANNA, OH 43230-1370
(614) 741-4411
(614) 741-4412
Mailing address
5175 MORSE RD, SUITE 400, GAHANNA, OH 43230-1370
(614) 741-4411
(614) 741-4412
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35080611
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2410224
—
OH
05
—
64103674
—
KY
Enumeration date
03/16/2006
Last updated
01/28/2014
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