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NPI Code Detail

MEDICARE: ROBERT J THALER JR. MD

MEDICARE:   ROBERT J THALER JR. 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 Physician35043877OH

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 : 1558368779
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT J THALER JR. MD
Provider Business Mailing Address
First Line : 5885 HARRISON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-1651
Country : US
Telephone Number : 513-598-3500
Fax Number :
Provider Business Practice Location Address
First Line : 5885 HARRISON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-1651
Country : US
Telephone Number : 513-598-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 06/08/2012

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Directions to “ ROBERT J THALER JR. MD” Practice Location

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