Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35036074C | OH |
Y | 208600000X | Surgeon | 35036074C | OH |
NPI | 1013945443 |
---|---|
Provider Name | Dr. Robert A Cecchino |
First Address | Tiffin, OH 44883-8312 |
Second Address | Tiffin, OH 44883-8312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 11/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000341388 | ANTHEM (01) | |
000000341388 | ANTHEM (01) | OH |
0390063 | (05) | OH |
200339770 | (05) | IN |