Individual
DR. PAUL JOSEPH FAVORITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4460 RED BANK EXPRESSWAY, CINCINNATI, OH 45227
(513) 791-5200
(513) 791-5229
Mailing address
4460 RED BANK EXPRESSWAY, CINCINNATI, OH 45227-2172
(513) 791-5200
(513) 791-5229
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35075562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000106985
ANTHEM
OH
01
—
0901372
UNITED HEALTHCARE
OH
01
—
200040594
MEDICARE RAILROAD
OH
05
—
2190918
—
OH
01
—
6006500002
CIGNA
OH
Enumeration date
07/14/2005
Last updated
10/21/2020
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