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NPI Code Detail

MEDICARE: DR. JOSE JOAQUIN NORBERTO MD

MEDICARE:  DR. JOSE JOAQUIN NORBERTO  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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician35078180OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CD3781OTHEROHMEDICARE RAILROAD

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 : 1942203153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE JOAQUIN NORBERTO MD
Provider Business Mailing Address
First Line : 5400 FRANTZ RD STE 250
Second Line :
City : DUBLIN
State : OH
Zip : 43016-6102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 335 GLESSNER AVE
Second Line :
City : MANSFIELD
State : OH
Zip : 44903-2269
Country : US
Telephone Number : 567-241-7000
Fax Number : 567-241-7523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 01/25/2022

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