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Individual

DAVID C PELINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
25751 HILLIARD BLVD, WESTLAKE, OH 44145-3311

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35046431P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0524632
OH
01
942460636281
CARESOURCE
OH
01
P00222376
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
06/07/2006
Last updated
07/08/2007
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