Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35-03-5211 | OH |
Y | 207RI0011X | Interventional Cardiology | 35-03-5211 | OH |
NPI | 1083616296 |
---|---|
Provider Name | C David Joffe |
First Address | Dayton, OH 45414-3969 |
Second Address | Dayton, OH 45414-3969 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 02/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0392472 | (05) | OH |
C03433 | (02) | OH |