Individual
RICHARD CARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 N WILSON DR, WEST UNION, OH 45693-1577
(937) 544-1544
Mailing address
PO BOX 711919, CINCINNATI, OH 45271-0001
(866) 286-5884
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35050074
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005472
BC BS
OH
05
—
0558472
—
OH
Enumeration date
07/11/2005
Last updated
07/18/2007
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