Individual
DR. JOSE JOAQUIN NORBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(567) 241-7000
(567) 241-7523
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35078180
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2180590
—
OH
01
—
CD3781
MEDICARE RAILROAD
OH
Enumeration date
05/23/2005
Last updated
01/25/2022
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