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1861472441

NPI Code Detail

MEDICARE: ROBERT J MASONE MD

MEDICARE: ROBERT J MASONE 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	35055910	OH
2	207RA0401X	Addiction Medicine (Internal Medicine) Physician	C1-0006970	DE
3	207LA0401X	Addiction Medicine (Anesthesiology) Physician	35.055910	OH

General Provider Information

NPI Number	:	1861472441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J MASONE MD

Provider Business Mailing Address
First Line	:	615 ELSINORE PL STE 200
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-1457
Country	:	US
Telephone Number	:	513-834-7063
Fax Number	:

Provider Business Practice Location Address
First Line	:	5815 WESTBOURNE AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1459
Country	:	US
Telephone Number	:	614-751-1871
Fax Number	:	614-321-3011

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	12/15/2021

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Directions to “ ROBERT J MASONE MD” Practice Location

Language	Start Address	Practice Location

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