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Individual

ALBERTO ENRIQUE REVELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 W 10TH AVE FL 2, COLUMBUS, OH 43210-1280
(614) 293-6939
(614) 293-3919
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-6939
(614) 293-3919

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.134360
OH
207RP1001X
Pulmonary Disease Physician
Primary
35.134360
OH

Other

Enumeration date
01/23/2013
Last updated
03/16/2021
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