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NPI Code Detail

MEDICARE: NANCY J PELC MD

MEDICARE:   NANCY J PELC  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
1207N00000XDermatology Physician35-06-0006OH

Other Identifiers

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

General Provider Information

NPI Number : 1700950052
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY J PELC MD
Provider Business Mailing Address
First Line : 7871 MIAMI AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-1949
Country : US
Telephone Number : 513-319-0069
Fax Number :
Provider Business Practice Location Address
First Line : 7871 MIAMI AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-1949
Country : US
Telephone Number : 513-319-0069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 02/27/2023

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Directions to “ NANCY J PELC MD” Practice Location

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