Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 34.013129 | OH |
NPI | 1013910116 |
---|---|
Provider Name | Dr. Robert M Amory |
First Address | Strongsville, OH 44136 |
Second Address | Strongsville, OH 44136-9302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 08/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060055853 | RR MEDICARE (01) | SC |
1025508250001 | (05) | PA |
DF4147 | RR MEDICARE (01) | SC |
G25691 | (02) | SC |