Individual
DAVID J CORALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18586 5TH ST, BELOIT, OH 44609-9799
(330) 938-3333
(330) 938-9375
Mailing address
18586 5TH ST, BELOIT, OH 44609-9799
(330) 938-3333
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34006945C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016762
RAIL ROAD MEDICARE
OH
05
—
2241425
—
OH
Enumeration date
10/11/2006
Last updated
05/15/2025
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