Individual
DR. AMANDA PENSIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(440) 605-1258
Mailing address
10701 EAST BLVD, LOUIS STOKES VAMC, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.129862
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2014
Last updated
05/20/2021
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