MEDICARE: DR. ANDREW JOSEPH RAZZANO JR. D.O.

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
1	207X00000X	Orthopaedic Surgery Physician	34.011213	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497987838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JOSEPH RAZZANO JR. D.O.

Provider Business Mailing Address
First Line	:	6480 HARRISON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7961
Country	:	US
Telephone Number	:	513-354-3700
Fax Number	:	513-354-7651

Provider Business Practice Location Address
First Line	:	2835 MIAMI VILLAGE DR
Second Line	:
City	:	MIAMISBURG
State	:	OH
Zip	:	45342-4587
Country	:	US
Telephone Number	:	513-354-3700
Fax Number	:	513-354-7651

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2009
Last Update Date	:	11/28/2018

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Directions to “ DR. ANDREW JOSEPH RAZZANO JR. D.O.” Practice Location

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