Healthcare Provider Details

I. General information

NPI: 1679549331
Provider Name (Legal Business Name): ROBERT E HILTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7810 5 MILE RD
CINCINNATI OH
45230-2356
US

IV. Provider business mailing address

4600 WESLEY AVE STE. N
CINCINNATI OH
45212-2298
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-1253
  • Fax: 513-232-4290
Mailing address:
  • Phone: 513-841-5220
  • Fax: 513-841-1580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35-066627
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: