Individual
NATALIE GRACE SPACCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1328 DUBLIN RD STE 100, COLUMBUS, OH 43215-1054
(614) 293-1707
(614) 293-1716
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-1707
(614) 293-1716
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35135233
OH
207NP0225X
Pediatric Dermatology Physician
35135233
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0328285
—
OH
01
—
H675870-OSU
CGS-MEDICARE
OH
01
—
H675871-NCH
CGS-MEDICARE
OH
Enumeration date
04/24/2013
Last updated
02/15/2022
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