Diane M. Cornicelli, M.d. Inc,

NPI #1164506762 in Willoughby, Ohio

Provider Information

NPI Number: 1164506762
Entity Type: Organization
Organization Name: Diane M. Cornicelli, M.d. Inc,
Primary Specialty: Internal Medicine
Enumeration Date: Oct 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 36001 EUCLID AVE
Address 2: SUITE C-19
City: Willoughby
State: Ohio
ZIP Code: 44094-4643
Phone: (216) 374-9664

Authorized Official

Name: DR. DIANE CORNICELLI, M.D.
Title: PRESIDENT
Phone: (216) 374-9664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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