Healthcare Provider Details

I. General information

NPI: 1902803612
Provider Name (Legal Business Name): DANIEL ANTHONY TRAMUTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 11/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 E GALBRAITH RD SUITE 205
CINCINNATI OH
45236-6703
US

IV. Provider business mailing address

4760 E GALBRAITH RD SUITE 205
CINCINNATI OH
45236-6703
US

V. Phone/Fax

Practice location:
  • Phone: 513-985-0741
  • Fax: 513-985-0748
Mailing address:
  • Phone: 513-985-0741
  • Fax: 513-985-0748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35-06-5403-T
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: