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NPI Code Detail

MEDICARE: CARDIOLOGY SPECIALISTS OF DAYTON INC

MEDICARE: CARDIOLOGY SPECIALISTS OF DAYTON INC
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
1207RC0000XCardiovascular Disease Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CL4019OTHEROHRAILROAD MEDICARE

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 : 1275735474
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOLOGY SPECIALISTS OF DAYTON INC
Provider Business Mailing Address
First Line : PO BOX 634766
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-0042
Country : US
Telephone Number : 440-716-1283
Fax Number : 440-716-1605
Provider Business Practice Location Address
First Line : 2510 COMMONS BLVD
Second Line : SUITE 200B
City : BEAVERCREEK
State : OH
Zip : 45431-3809
Country : US
Telephone Number : 937-454-9527
Fax Number : 937-454-9532
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT BULOW
Credential : DO
Telephone Number : 937-454-9527
Provider Enumeration Date : 06/01/2007
Last Update Date : 04/20/2008

Similar Medicare Providers

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1346096336 — DR. JARED EVAN HOY MD
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1346242534 — JOSEPH N. GUNASEKERA M.D.
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Directions to “CARDIOLOGY SPECIALISTS OF DAYTON INC ” Practice Location

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