Organization
CARDIOLOGY SPECIALISTS OF DAYTON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E BULOW DO (MANAGING PARTNER)
(937) 454-9527
Entity
Organization
Contact information
Practice address
4160 LITTLE YORK RD, STE. 20, DAYTON, OH 45414-5800
(937) 454-9527
(937) 454-9532
Mailing address
4160 LITTLE YORK RD, STE. 20, DAYTON, OH 45414-5800
(937) 454-9527
(937) 454-9532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34006383
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0918449
—
OH
01
—
CL4019
RAILROAD MEDICARE
OH
Enumeration date
07/14/2005
Last updated
04/20/2008
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