Individual
ROBERT CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, ML 0761, CINCINNATI, OH 45267-1000
(513) 584-4391
(513) 584-0431
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3617
(513) 475-7259
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-05-3870
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014321
ANTHEM
OH
05
—
0118599000
—
WV
05
—
0629252
—
OH
01
—
1620955
UNITED HEALTHCARE
OH
05
—
200042900A
—
IN
05
—
64787328
—
KY
01
—
652343
AETNA
OH
05
—
7614879
—
NC
Enumeration date
10/17/2005
Last updated
01/26/2010
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