MEDICARE: DR. SCOTT AARON KOTZIN 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	207R00000X	Internal Medicine Physician	34-00-6559K	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	:	1215915442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT AARON KOTZIN D.O.

Provider Business Mailing Address
First Line	:	175 W GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45216-1015
Country	:	US
Telephone Number	:	513-418-5700
Fax Number	:	513-418-5773

Provider Business Practice Location Address
First Line	:	175 W GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45216-1015
Country	:	US
Telephone Number	:	513-418-5700
Fax Number	:	513-418-5773

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

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	03/07/2023

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