Dr. Amanda Pensiero, M.D.
Internal Medicine in Cleveland, OH. Individual provider (NPI-1).
NPI number1124445127
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1124445127
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amanda Pensiero
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2014
- Certification date
- May 5, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 35.129862 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
10701 East BlvdCleveland, OH 44106-1702
Phone 440-605-1258
Mailing address
10701 East BlvdLouis Stokes Vamc
Cleveland, OH 44106-1716
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