Individual
GREGORY COLANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 MACK RD, SUITE 120, FAIRFIELD, OH 45014-5335
(513) 682-6975
(513) 682-6976
Mailing address
3000 MACK RD, SUITE 120, FAIRFIELD, OH 45014-5335
(513) 682-6975
(513) 682-6976
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35054089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0669012
—
OH
Enumeration date
03/23/2006
Last updated
10/04/2011
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