Individual
DR. ROBERT A CECCHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 ST LAWRENCE DR, SUITE 203, TIFFIN, OH 44883-8312
(419) 455-8560
(419) 455-8564
Mailing address
27 ST LAWRENCE DR, SUITE 203, TIFFIN, OH 44883-8312
(419) 455-8560
(419) 455-8564
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35036074C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341388
ANTHEM
OH
01
—
000000341388
ANTHEM
—
05
—
0390063
—
OH
05
—
200339770
—
IN
Enumeration date
06/28/2006
Last updated
08/11/2011
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