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NPI Code Detail

MEDICARE: ROBERT A. DLWGOSH MD

MEDICARE:   ROBERT A. DLWGOSH  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 Physician35061612OH

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 : 1578520300
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT A. DLWGOSH MD
Provider Business Mailing Address
First Line : 2422 LAKE AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4985
Country : US
Telephone Number : 440-992-4422
Fax Number : 440-997-6507
Provider Business Practice Location Address
First Line : 2422 LAKE AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4985
Country : US
Telephone Number : 440-992-4422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 12/28/2017

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Directions to “ ROBERT A. DLWGOSH MD” Practice Location

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