Organization
GYNECOLOGIC ONCOLOGY AND PELVIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS VACCARELLO MD (PHYSICIAN)
(614) 383-6000
Entity
Organization
Contact information
Practice address
745 W STATE ST, SUITE 550A, COLUMBUS, OH 43222-1515
(614) 383-6000
Mailing address
745 W STATE ST, SUITE 550A, COLUMBUS, OH 43222-1515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019836
—
OH
Enumeration date
12/26/2007
Last updated
12/27/2007
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