# DR. ROBERT W. MAITTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598083537
- **Gender:** Man
- **Credential:** M.D.,PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | 35.097642 | OH | Yes |
| 207ZC0500X | Cytopathology Physician | 35-097642 | OH | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | 35-097642 | OH | — |
| 207ZF0201X | Forensic Pathology Physician | 35-097642 | OH | — |
| 207ZH0000X | Hematology (Pathology) Physician | 35-097642 | OH | — |
| 207ZI0100X | Immunopathology Physician | 35-097642 | OH | — |
| 207ZM0300X | Medical Microbiology Physician | 35-097642 | OH | — |
| 207ZP0104X | Chemical Pathology Physician | 35-097642 | OH | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | 35-097642 | OH | — |

## Other

- **Enumeration date:** 05/15/2010
- **Last updated:** 03/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0053614 | — | OH |
| 01 | — | PO1063588 | RAILROAD MEDICARE | OH |