Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35125186 | OH |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 161152 | MA |
NPI | 1972594091 |
---|---|
Provider Name | Dr. James W. Rocco |
First Address | Columbus, OH 43212-3153 |
Second Address | Columbus, OH 43212-3153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 29/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3203620 | (05) | MA |
H05088 | (02) | MA |