MEDICARE: CHRISTINE CIPOLLETTI M.D.

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
1	174400000X	Specialist	35082867C	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134221773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE CIPOLLETTI M.D.

Provider Business Mailing Address
First Line	:	6900 PEARL RD STE 300
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3640
Country	:	US
Telephone Number	:	440-884-9000
Fax Number	:	440-884-4929

Provider Business Practice Location Address
First Line	:	6900 PEARL RD
Second Line	:	STE.300
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3639
Country	:	US
Telephone Number	:	440-884-9000
Fax Number	:	440-884-4929

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2006
Last Update Date	:	10/14/2014

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