Individual
DR. JACQUELINE M DIPIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(216) 581-0500
Mailing address
PO BOX 73327N, CLEVELAND, OH 44193-1094
(440) 879-0078
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35-068387
OH
208M00000X
Hospitalist Physician
35.068387
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000124459
ANTHEM
OH
05
—
2054440
—
OH
Enumeration date
03/08/2006
Last updated
11/19/2024
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