Individual
CLAUDIO A DEPERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
149 E SIMPSON ST, ALLIANCE, OH 44601-4219
(330) 823-4424
(330) 823-9589
Mailing address
149 E SIMPSON ST, ALLIANCE, OH 44601-4219
(330) 823-4424
(330) 823-9589
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35070562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0319702
—
OH
01
—
20110438300
BWC
OH
Enumeration date
11/06/2006
Last updated
04/02/2020
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