Organization Name: | TERESITA C. MARCELO, M.D., INC. |
NPI Number: | 1659342186 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESITA CALIBAG MARCELO (PRESIDENT) |
Mailing Address: | 131 W State St Alliance |
State: | OH US |
Postal Code: | 446014753 |
Phone Number: | 3308233166 |
Fax Number: | 3308233166 |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |