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NPI Code Detail

MEDICARE: GINA MIHAELA OPRISESCU MD

MEDICARE: GINA MIHAELA OPRISESCU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician57014241OH
2207R00000XInternal Medicine Physician3509641OH

General Provider Information

NPI Number : 1104073212
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA MIHAELA OPRISESCU MD
Provider Business Mailing Address
First Line : 24700 LORAIN RD STE 207
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-2068
Country : US
Telephone Number : 440-779-5505
Fax Number : 440-779-1342
Provider Business Practice Location Address
First Line : 18101 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5612
Country : US
Telephone Number : 216-476-7029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2008
Last Update Date : 04/02/2018

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