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NPI Code Detail

MEDICARE: GABRIELLA PUCCI

MEDICARE:   GABRIELLA  PUCCI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1477177913
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLA PUCCI
Provider Business Mailing Address
First Line : 4041 N HIGH ST STE 102
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3248
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4041 N HIGH ST STE 102
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3248
Country : US
Telephone Number : 614-431-1418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2020
Last Update Date : 08/15/2022

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Directions to “ GABRIELLA PUCCI ” Practice Location

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