Individual
NELA A VIDOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
PO BOX 74953, CLEVELAND, OH 44194-1036
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-042816
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000274872
ANTHEM
OH
Enumeration date
02/28/2006
Last updated
07/11/2007
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