Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 35048989 | OH |
NPI | 1104833656 |
---|---|
Provider Name | Seth M Kantor |
First Address | Columbus, OH 43202-1559 |
Second Address | Dublin, OH 43017-2009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 07/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0521439 | (05) | OH |
A15469 | (02) | OH |