Individual
DR. MARC GENNARO CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 COPELAND MILL RD, SUITE 2C, WESTERVILLE, OH 43081-8977
(614) 899-6167
(614) 899-6067
Mailing address
575 COPELAND MILL RD, SUITE 2C, WESTERVILLE, OH 43081-8977
(614) 899-6167
(614) 899-6067
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35. 047656
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0516730
—
OH
Enumeration date
11/13/2006
Last updated
03/17/2008
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