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NPI Code Detail

MEDICARE: DANIEL J RONCONE MD

MEDICARE: DANIEL J RONCONE 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 Physician34008214OH
2207RN0300XNephrology Physician34008214OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
234008214OTHEROHOHIO STATE LICENSE NO

General Provider Information

NPI Number : 1457333684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL J RONCONE MD
Provider Business Mailing Address
First Line : 929 JASONWAY AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2464
Country : US
Telephone Number : 614-538-2256
Fax Number : 614-538-2256
Provider Business Practice Location Address
First Line : 929 JASONWAY AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2464
Country : US
Telephone Number : 614-538-2256
Fax Number : 614-538-2256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 08/06/2014

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