Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 34004202 | OH |
N | 207KA0200X | Allergist | 34004202 | OH |
NPI | 1730159674 |
---|---|
Provider Name | Dr. Robert W Hostoffer |
First Address | Mayfield Heights, OH 44124-4039 |
Second Address | Mayfield Heights, OH 44124-4039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 02/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E10924 | (02) |