Individual
GABRIELE PEDICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23625 COMMERCE PARK, SUITE 204, BEACHWOOD, OH 44122-5845
(216) 255-5725
(866) 618-2917
Mailing address
23625 COMMERCE PARK, SUITE 204, BEACHWOOD, OH 44122-5845
(216) 255-5725
(866) 618-2917
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-063459
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006781
ANTHEM BC/BS
—
05
—
0889454
—
OH
01
—
300043195
RAILROAD MEDICARE
—
01
—
310851206015
MEDICAL MUTUAL OF OHIO
—
Enumeration date
10/17/2006
Last updated
02/10/2010
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