Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35.127870 | OH |
Y | 111NI0900X | Internist | 35.127870 | OH |
N | 208000000X | Pediatrician | 35.127870 | OH |
NPI | 1003233958 |
---|---|
Provider Name | Anthony M Miele |
First Address | Columbus, OH 43214-1953 |
Second Address | Columbus, OH 43214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 27/07/2021 |