Organization
CARDIOLOGY SPECIALISTS OF DAYTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BULOW MD (PRESIDENT)
(937) 434-3968
Entity
Organization
Contact information
Practice address
1512 YANKEE PARK PL, CENTERVILLE FINANCE, OH 45458-1878
(937) 434-3968
(937) 434-4886
Mailing address
PO BOX 634766, CINCINNATI, OH 45263-0042
(800) 611-6912
(440) 716-1605
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0918449
—
OH
01
—
CL4019
RAILROAD MEDICARE B
OH
Enumeration date
06/04/2007
Last updated
04/20/2008
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