Individual
ROBERT MALTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10496 MONTGOMERY RD, STE. 206, CINCINNATI, OH 45242-5223
(513) 984-1190
Mailing address
PO BOX 640716, CINCINNATI, OH 45264-0001
(800) 357-5728
(937) 291-2962
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35026004
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006940
ANTHEM
OH
05
—
0173039
—
OH
Enumeration date
10/11/2005
Last updated
07/08/2007
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