Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35-04-7601-S | OH |
NPI | 1003881566 |
---|---|
Provider Name | Dr. Robert Cleveland Schiff JR. |
First Address | Cincinnati, OH 45242-5653 |
Second Address | Cincinnati, OH 45242-5653 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0622160 | (05) | OH |