Organization
WEST SIDE CARDIOLOGY ASSOC., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLO M. MELLINO MD (PRESIDENT)
(440) 333-8600
Entity
Organization
Contact information
Practice address
20455 LORAIN RD, SECOND FLOOR, FAIRVIEW PARK, OH 44126-3494
(440) 333-8600
(440) 333-5015
Mailing address
20455 LORAIN RD, SECOND FLOOR, FAIRVIEW PARK, OH 44126-3494
(440) 333-8600
(440) 333-5015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
OH
207RI0011X
Interventional Cardiology Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0946776
—
OH
Enumeration date
05/18/2006
Last updated
10/30/2007
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