Organization
RUDOLPH J MOREIRA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH J MOREIRA M.D. (PRESIDENT OF CORPORATION)
(513) 281-1252
Entity
Organization
Contact information
Practice address
9403 KENWOOD RD, SUITE B200, CINCINNATI, OH 45242-6895
(513) 281-1252
(513) 281-1161
Mailing address
9403 KENWOOD RD, SUITE B200, CINCINNATI, OH 45242-6895
(513) 281-1252
(513) 281-1161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35035368
OH
2086S0129X
Vascular Surgery Physician
35035368
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5391302
—
OH
Enumeration date
08/14/2007
Last updated
08/14/2007
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