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Individual

DR. RICHARD R ASSAF

Active
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Individual

DR. RICHARD R ASSAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35064785
OH
207NP0225X
Pediatric Dermatology Physician
35064785
OH
207NS0135X
Procedural Dermatology Physician
35064785
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000141688
ANTHEM BC/BS
OH
01
070017680
RAILROAD CARE
OH
01
1669421392
ANTHEM BC/BS
OH
05
2116230
OH
01
413025
WELLCARE
OH
Enumeration date
05/09/2006
Last updated
06/16/2021
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