Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 35-050055 | OH |
NPI | 1053535088 |
---|---|
Provider Name | Arthur W Molinoff |
First Address | Belfast, ME 04915-8792 |
Second Address | Ashtabula, OH 44004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 25/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0541962 | (05) | OH |
E29515 | (02) |