Individual
MARCELLO PIETRANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E GRAY ST, STE.602, LOUISVILLE, KY 40202-3900
(502) 582-6900
(502) 582-5400
Mailing address
210 E GRAY ST, STE.602, LOUISVILLE, KY 40202-3900
(502) 582-6900
(502) 582-5400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
29075
KY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
29075
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100365180B
—
IN
01
—
4341270
AETNA
—
01
—
50010517
PASSPORT
KY
01
—
60011682
MDWISE
IN
05
—
64290752
—
KY
01
—
810360
MANAGED HEALTH SERVICES
IN
Enumeration date
03/17/2006
Last updated
10/09/2014
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