Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.085330 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 35.085330 | OH |
NPI | 1508182049 |
---|---|
Provider Name | Joshua K Schaffzin |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2010 |
Last Update Date | 20/06/2017 |