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NPI Code Detail

MEDICARE: PAUL M GANGL MD

MEDICARE:   PAUL M GANGL  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
1207X00000XOrthopaedic Surgery Physician51252OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477544252
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL M GANGL MD
Provider Business Mailing Address
First Line : 8311 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2227
Country : US
Telephone Number : 513-246-2300
Fax Number : 513-246-2391
Provider Business Practice Location Address
First Line : 8311 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2227
Country : US
Telephone Number : 513-246-2300
Fax Number : 513-246-2391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/22/2014

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Directions to “ PAUL M GANGL MD” Practice Location

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