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Individual

DR. PETER LEE APICELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1995 E STATE ST, MEDICAL IMAGING DEPT., SALEM, OH 44460-2423
(330) 337-6140
(330) 337-1071
Mailing address
2094 E STATE ST, SUITE E, SALEM, OH 44460-4409
(330) 337-6140
(330) 337-1071

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-06-4522
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0312825
OH
01
300045638
RAILROAD PROVIDER NUMBER
OH
01
3410390721215
ANTHEM
OH
Enumeration date
10/23/2006
Last updated
07/08/2007
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