Fedele, Gregory Malcolm
Fedele, Gregory Malcolm is an sole proprietor health care provider with primary practice located at 25201 Chagrin Blvd Suite 180, Beachwood OH 44122-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Fedele, Gregory Malcolm can be contacted via phone (216) 464-1616.Contact Information
Primary practice address
25201 Chagrin Blvd Suite 180
Beachwood OH 44122-5600
Phone: (216) 464-1616
Fax: (216) 464-1618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 35.070501 | Ohio |
Profile Details
| NPI number | 1306949557 |
|---|---|
| LBN Legal business name | Fedele, Gregory Malcolm |
| Credentials | M.D. FACS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 7th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306949557 | NPPES |
| Ohio | MEDICAID | 2500289 |
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