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NPI Code Detail

MEDICARE: TODD LOREN ASTOR MD

MEDICARE: TODD LOREN ASTOR 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
1207RP1001XPulmonary Disease Physician35084759OH
2207R00000XInternal Medicine Physician35084759OH
3207RC0200XCritical Care Medicine (Internal Medicine) Physician35084759OH

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 : 1477550903
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD LOREN ASTOR MD
Provider Business Mailing Address
First Line : 555 S 18TH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2654
Country : US
Telephone Number : 614-722-3489
Fax Number : 614-722-3426
Provider Business Practice Location Address
First Line : 555 S 18TH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2654
Country : US
Telephone Number : 614-722-3489
Fax Number : 614-722-3426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/25/2008

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Directions to “ TODD LOREN ASTOR MD” Practice Location

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