Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | C1-0006970 | DE |
NPI | 1861472441 |
---|---|
Provider Name | Robert J Masone |
First Address | Cincinnati, OH 45202-1457 |
Second Address | Columbus, OH 43213-1459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 15/12/2021 |