Individual
DR. MARK JEFFREY BARCELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7580 AUBURN RD STE 302, CONCORD TWP, OH 44077-9618
(440) 354-4208
(440) 354-1151
Mailing address
30701 LORAIN RD STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-057712
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000126682
ANTHEM BCBS
—
05
—
0888580
—
OH
01
—
1100285
UNITED HEALTH CARE
—
01
—
353767
WELLCARE OF OHIO
—
01
—
4284824
AETNA
—
Enumeration date
03/20/2006
Last updated
05/06/2021
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