Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 283739-1 | NY |
Y | 204F00000X | Transplant Surgeon | 35099463 | OH |
N | 208200000X | Surgeon | 35.099463 | OH |
N | 208600000X | Surgeon | 35.099463 | OH |
NPI | 1720212269 |
---|---|
Provider Name | Dr. Ralph Cutler Quillin III |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45219-2364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 01/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04508247 | (05) | NY |