Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 35.093752 | OH |
NPI | 1245406396 |
---|---|
Provider Name | Robert Peter Vandekappelle JR. |
First Address | Akron, OH 44308-1063 |
Second Address | Boardman, OH 44512-3457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2008 |
Last Update Date | 02/04/2021 |