Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35-043336 | OH |
NPI | 1710119276 |
---|---|
Provider Name | Dr. Richard Patrick Maioriello |
First Address | Magnolia, OH 44643-9791 |
Second Address | Magnolia, OH 44643-9791 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2009 |
Last Update Date | 18/08/2009 |