Individual
JUSTIN J CRIVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30575 BAINBRIDGE RD, SOLON, OH 44139
(440) 542-5000
Mailing address
30575 BAINBRIDGE RD, SOLON, OH 44139-2221
(440) 542-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.010674
OH
207R00000X
Internal Medicine Physician
DO2455
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134426398
—
ME
Enumeration date
02/23/2011
Last updated
05/10/2019
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