Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | 35.090328 | OH |
N | 207ND0101X | MOHS-Micrographic Surgeon | 35090328 | OH |
N | 207ND0101X | MOHS-Micrographic Surgeon | E-6763 | AR |
NPI | 1386683290 |
---|---|
Provider Name | Stephen F. D'addario |
First Address | Dublin, OH 43017-3566 |
Second Address | Dublin, OH 43017-3566 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 05/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2780629 | (05) | OH |
DA4217051 | (02) | OH |