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NPI Code Detail

MEDICARE: MARK ANDOLINA MD

MEDICARE: MARK ANDOLINA 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
1207R00000XInternal Medicine Physician57011660OH
2207RH0003XHematology & Oncology Physician35094106OH

General Provider Information

NPI Number : 1346451051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ANDOLINA MD
Provider Business Mailing Address
First Line : 234 GOODMAN ST
Second Line : MAIL LOCATION 0796
City : CINCINNATI
State : OH
Zip : 45219-2364
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 234 GOODMAN ST
Second Line : MAIL LOCATION 0796
City : CINCINNATI
State : OH
Zip : 45219-2364
Country : US
Telephone Number : 513-584-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 10/28/2015

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Directions to “ MARK ANDOLINA MD” Practice Location

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