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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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