Individual
DR. PAUL J. CANGEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 N LOCUST ST, STE 1B, OXFORD, OH 45056-1182
(513) 524-1100
(513) 524-0085
Mailing address
174 STONE CREEK DR, OXFORD, OH 45056-9758
(513) 523-4482
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
35-036511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420020
—
OH
05
—
100001310
—
IN
01
—
2000017810
RAILROAD MEDICARE
OH
Enumeration date
06/23/2005
Last updated
01/12/2009
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