Organization
HILLCREST DIAGNOSTIC INTERNAL MEDICINE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD PENSIERO MD (DIRECTOR)
(440) 777-6300
Entity
Organization
Contact information
Practice address
6780 MAYFIELD RD, CLEVELAND, OH 44124
(440) 777-6300
Mailing address
21755 BROOKPARK ROAD, CLEVELAND, OH 44126
(440) 777-6300
(440) 777-2330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708363
—
OH
Enumeration date
04/28/2006
Last updated
08/22/2020
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