Healthcare Provider Details
I. General information
NPI: 1073658076
Provider Name (Legal Business Name): RAMBAM MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2007
Last Update Date: 12/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7091 W ARACOMA DR
CINCINNATI OH
45237-2327
US
IV. Provider business mailing address
7091 W ARACOMA DR
CINCINNATI OH
45237-2327
US
V. Phone/Fax
- Phone: 513-351-6684
- Fax:
- Phone: 513-351-6684
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCINE
BEHRMAN
Title or Position: VICE-PRESIDENT
Credential: MD
Phone: 513-351-6684