David J. Corallo, D.O. in Beloit - Procedural Dermatology
David J. Corallo, D.O. - NPI 1790974442
David J. Corallo, D.O. is a Procedural Dermatology in Beloit, Ohio. David J. Corallo, D.O. practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for David J. Corallo, D.O. is 1790974442. The last update date is 2010-08-16.
David J. Corallo, D.O.'s current location address is 18586 5th St, Beloit, Ohio. You can contact this provider via phone number 3309383333 and fax number 3309389375. The mailing address for David J. Corallo, D.O. is 18586 5th St, Beloit, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David J. Corallo, D.O. |
|---|---|
| Address | 18586 5th St, Beloit, Ohio |
| Phone Number | 3309383333 |
| Fax Number | 3309389375 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Lambdin D. Angela |
| Telephone Number | 3309383333 |
NPI Number Detail
| NPI Number | 1790974442 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2010-08-16 |
Provider Mailing Address Detail
| Address | 18586 5th St |
|---|---|
| City | Beloit |
| State | Ohio (OH) |
| Post Code | 446099799 |
| Phone Number | 3309383333 |
| Fax Number | 3309389375 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 34006945C |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2241425 | OH | -- | |
| DG3616 | OH | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David J. Corallo, D.O. by the Centers for Medicare & Medicaid Services?
The David J. Corallo, D.O. has been issued the NPI (National Provider Identifier) 1790974442 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where David J. Corallo, D.O. is geographically located?
The David J. Corallo, D.O. is physically situated at the following location: 18586 5Th St, Beloit, OH, 446099799.
What is David J. Corallo, D.O.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for David J. Corallo, D.O. is Procedural Dermatology, and the corresponding taxonomy classification code for this specialized field is 207Ns0135X.
When did the David J. Corallo, D.O. receive its 1790974442?
The David J. Corallo, D.O. was issued its 1790974442 on 2007-10-18, which is the date when the organization was assigned this unique identifier.
As of what date were the David J. Corallo, D.O.'s details last updated?
The information pertaining to the David J. Corallo, D.O., including its address, specialty, and other details, was most recently updated on 2010-08-16.