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General NPI Number Information
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NPI Number | 1639395353
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Entity Type | Individual
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Provider Name | CARMINE A. GRIECO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/14/2011
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Provider Practice Location Address
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Address Line | 700 ACKERMAN RD
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-784-2305
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Fax |
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-784-2305
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MT187821
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License Number State | PA
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